Organization · NPI-2

Manasseh Home Healthcare LLC

Home Health · Maple Grove, MN

NPI number1184425944
StatusActive
Last updated in NPPESJun 11, 2025

Details

NPI
1184425944
Entity type
Organization (NPI-2)
Legal business name
Manasseh Home Healthcare LLC
Organization subpart
No
Enumeration date
Mar 19, 2025
Certification date
Jun 11, 2025
Last updated
Jun 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251J00000X Nursing Care––

Practice location

11555 Boulder Ct
Maple Grove, MN 55311-7521

Phone 612-351-7100

Mailing address

11555 Boulder Ct
Maple Grove, MN 55311-7521

Phone 612-351-7100

Authorized official

Jewel B Johnson
President
6123517100

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