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NPI Code Detail

MEDICARE: A VISION OF HOPE LLC

MEDICARE: A VISION OF HOPE 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
1347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1861359820
Entity Type Code : Organization
Provider Name (Legal Business Name) : A VISION OF HOPE LLC
Provider Business Mailing Address
First Line : 2065 CARNELIAN LN
Second Line :
City : EAGAN
State : MN
Zip : 55122-2867
Country : US
Telephone Number : 651-428-9045
Fax Number :
Provider Business Practice Location Address
First Line : 2065 CARNELIAN LN
Second Line :
City : EAGAN
State : MN
Zip : 55122-2867
Country : US
Telephone Number : 651-428-9045
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : PAMELA K KING
Credential :
Telephone Number : 651-428-9045
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “A VISION OF HOPE LLC ” Practice Location

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