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NPI Code Detail

MEDICARE: HOLISTIC ARRAY OF AUTHENTIC SERVICES (HAAS)

MEDICARE: HOLISTIC ARRAY OF AUTHENTIC SERVICES (HAAS)
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
1251E00000XHome Health Agency340144MN

General Provider Information

NPI Number : 1841443421
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLISTIC ARRAY OF AUTHENTIC SERVICES (HAAS)
Provider Business Mailing Address
First Line : 3813 51ST AVE N
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55429-3368
Country : US
Telephone Number : 612-275-9063
Fax Number : 763-536-9768
Provider Business Practice Location Address
First Line : 3813 51ST AVE N
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55429-3368
Country : US
Telephone Number : 612-275-9063
Fax Number : 763-536-9768
Authorized Official
Title or Position : DIRECTOR
Name : MRS. ELIZABETH NAMARRA
Credential :
Telephone Number : 612-275-9063
Provider Enumeration Date : 10/28/2008
Last Update Date : 10/28/2008

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Directions to “HOLISTIC ARRAY OF AUTHENTIC SERVICES (HAAS) ” Practice Location

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