Healthcare Provider Details
I. General information
NPI: 1952022691
Provider Name (Legal Business Name): 3MB HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2022
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7447 EGAN DR STE 100
SAVAGE MN
55378-2299
US
IV. Provider business mailing address
7447 EGAN DR STE 100
SAVAGE MN
55378-2299
US
V. Phone/Fax
- Phone: 651-210-1561
- Fax: 952-241-9231
- Phone: 651-210-1561
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
ONWONA
APPIAH
Title or Position: OWNER
Credential: DR
Phone: 651-210-1561