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General NPI Number Information
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NPI Number | 1942976899
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Entity Type | Organization
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Legal Business Name | MINNESOTA HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 6472 UPPER 54TH ST N
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City | SAINT PAUL
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State | MN
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Zip | 55128-1110
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Country | US
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Telephone | 612-512-3581
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Fax | 651-340-8072
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Provider Business Mailing Address
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Address Line | 6 MICHAEL LN
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City | HASTINGS
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State | MN
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Zip | 55033-3937
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Country | US
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Telephone | 651-410-3785
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Fax | 612-884-9053
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Authorized Official
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Title or Position | OWNER/ OPERATIONS MANAGER
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Name | BECKY L GARIVAY
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Credential |
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Telephone | 651-410-3785
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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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