Healthcare Provider Details

I. General information

NPI: 1417085986
Provider Name (Legal Business Name): VOANS HEALTH SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 DOW ST N
CANNON FALLS MN
55009-1810
US

IV. Provider business mailing address

7530 MARKET PLACE DR
EDEN PRAIRIE MN
55344-3636
US

V. Phone/Fax

Practice location:
  • Phone: 507-263-4658
  • Fax: 507-263-4127
Mailing address:
  • Phone: 952-941-0305
  • Fax: 952-941-0428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number333615
License Number StateMN

VIII. Authorized Official

Name: RON W PATTERSON
Title or Position: ASSISTANT SECRETARY,TREASURER
Credential:
Phone: 952-941-0305