Healthcare Provider Details

I. General information

NPI: 1063467553
Provider Name (Legal Business Name): NURSES THAT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 LONDON RD
DULUTH MN
55812-2038
US

IV. Provider business mailing address

1932 LONDON RD
DULUTH MN
55812-2038
US

V. Phone/Fax

Practice location:
  • Phone: 218-724-2800
  • Fax: 218-724-8200
Mailing address:
  • Phone: 218-724-2800
  • Fax: 218-724-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number331891
License Number StateMN

VIII. Authorized Official

Name: MRS. DEBRA LOUISE ADAMS KOLTES
Title or Position: ADMINISTRATOR OWNER
Credential: RN
Phone: 218-724-2800