Healthcare Provider Details

I. General information

NPI: 1477101988
Provider Name (Legal Business Name): EMPOWERING HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8091 LOWER 147TH ST W
APPLE VALLEY MN
55124-6335
US

IV. Provider business mailing address

8091 LOWER 147TH ST W
APPLE VALLEY MN
55124-6335
US

V. Phone/Fax

Practice location:
  • Phone: 952-846-7208
  • Fax:
Mailing address:
  • Phone: 952-846-7208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BAO LEE
Title or Position: OWNER , CEO
Credential: MSW
Phone: 952-846-7208