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NPI Code Detail

MEDICARE: MN CONCIERGE NURSING SERVICES LLC

MEDICARE: MN CONCIERGE NURSING SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1255265435
Entity Type Code : Organization
Provider Name (Legal Business Name) : MN CONCIERGE NURSING SERVICES LLC
Provider Business Mailing Address
First Line : 20134 FERN GLEN CT N
Second Line :
City : FOREST LAKE
State : MN
Zip : 55025-3616
Country : US
Telephone Number : 612-910-9720
Fax Number :
Provider Business Practice Location Address
First Line : 20134 FERN GLEN CT N
Second Line :
City : FOREST LAKE
State : MN
Zip : 55025-3616
Country : US
Telephone Number : 612-910-9720
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KIARA MAGDIK
Credential :
Telephone Number : 612-910-9720
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “MN CONCIERGE NURSING SERVICES LLC ” Practice Location

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