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General NPI Number Information
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NPI Number | 1588543474
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Entity Type | Organization
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Legal Business Name | MIDWEST VALLEY HOME CARE, LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 303 N MAIN ST
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City | GRANADA
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State | MN
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Zip | 56039-4008
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Country | US
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Telephone | 612-834-0838
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Fax |
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Provider Business Mailing Address
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Address Line | 303 N MAIN ST
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City | GRANADA
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State | MN
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Zip | 56039-4008
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ASHLEY LUANNE KAY BROWN
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Credential | NP
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Telephone | 612-834-0838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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