Healthcare Provider Details

I. General information

NPI: 1831967330
Provider Name (Legal Business Name): WIN & JOJO HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 KADLER AVE NE
HANOVER MN
55341-4512
US

IV. Provider business mailing address

855 KADLER AVE NE
HANOVER MN
55341-4512
US

V. Phone/Fax

Practice location:
  • Phone: 651-332-6519
  • Fax:
Mailing address:
  • Phone: 651-332-6519
  • 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: MRS. JOWO NDEBE PAJIBO
Title or Position: OWNER
Credential: RN
Phone: 651-332-6519