MEDICARE: ALL ABOUT HOME CARE

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
1	251E00000X	Home Health Agency	343612	MN

General Provider Information

NPI Number	:	1518107440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT HOME CARE

Provider Business Mailing Address
First Line	:	4331 GIRARD AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-1301
Country	:	US
Telephone Number	:	612-353-5810
Fax Number	:	612-353-5810

Provider Business Practice Location Address
First Line	:	4331 GIRARD AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-1301
Country	:	US
Telephone Number	:	612-353-5810
Fax Number	:	612-353-5810

Authorized Official
Title or Position	:	OWNER
Name	:	BRIDGETT ANN MANNING
Credential	:
Telephone Number	:	612-353-5810

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	03/05/2009

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