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General NPI Number Information
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NPI Number | 1942241344
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Entity Type | Organization
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Legal Business Name | ESSLING'S HOMES PLUS INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1801 GERVAIS AVE
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City | MAPLEWOOD
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State | MN
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Zip | 55109-2158
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Country | US
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Telephone | 651-270-5527
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Fax | 651-730-1667
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Provider Business Mailing Address
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Address Line | 2187 BONNIE LN
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City | SAINT PAUL
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State | MN
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Zip | 55119-5668
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Country | US
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Telephone | 651-735-7259
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Fax | 651-730-1667
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Authorized Official
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Title or Position | CEO/ DIRECTOR
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Name | MS. BRIDGET ESSLING CARLSON
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Credential |
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Telephone | 651-270-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 330643
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License Number State | MN
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