=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780131433
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A & R ENTERPRISES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2016
-----------------------------------------------------
Last Update Date | 09/09/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 680 HALE AVE N STE 260
-----------------------------------------------------
City | OAKDALE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55128-7566
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-333-4244
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 680 HALE AVE N STE 260
-----------------------------------------------------
City | OAKDALE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55128-7566
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-333-4244
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ROBERT DENNIS REYNNELLS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 651-342-8433
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 377952
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------