Healthcare Provider Details

I. General information

NPI: 1023657210
Provider Name (Legal Business Name): ACCURATE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2020
Last Update Date: 01/05/2020
Certification Date: 01/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13605 GRAND AVE
BURNSVILLE MN
55337-4503
US

IV. Provider business mailing address

13605 GRAND AVE
BURNSVILLE MN
55337-4503
US

V. Phone/Fax

Practice location:
  • Phone: 612-703-9332
  • Fax:
Mailing address:
  • Phone: 612-703-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ZAKARIE WEHLIE
Title or Position: OWNER
Credential:
Phone: 612-703-9332