Healthcare Provider Details

I. General information

NPI: 1144538471
Provider Name (Legal Business Name): CAMDEN HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2010
Last Update Date: 09/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4149 LYNDALE AVE N 209
MINNEAPOLIS MN
55412-1703
US

IV. Provider business mailing address

4149 LYNDALE AVE N 209
MINNEAPOLIS MN
55412-1703
US

V. Phone/Fax

Practice location:
  • Phone: 612-521-2261
  • Fax: 612-521-5200
Mailing address:
  • Phone: 612-521-2261
  • Fax: 612-521-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRYAN HUTCHISON
Title or Position: PRESIDENT
Credential:
Phone: 612-521-2261