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General NPI Number Information
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NPI Number | 1952466294
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Entity Type | Organization
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Legal Business Name | TWIN CITIES HOME HEALTH CARE AGENCY LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 526 7TH ST W STE B
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City | SAINT PAUL
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State | MN
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Zip | 55102-3006
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Country | US
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Telephone | 651-298-1086
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Fax | 651-298-8711
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Provider Business Mailing Address
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Address Line | 526 WEST SEVENTH STREET SUITE B.
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City | ST. PAUL
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State | MN
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Zip | 55102-3006
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Country | US
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Telephone | 651-298-1086
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Fax | 651-298-8711
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ROMANO LAMAR HUDSON
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Credential | C.PED
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Telephone | 651-298-1086
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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 |
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License Number State |
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