Organization · NPI-2

Iwa Homecare

Case Management · Maple Grove, MN

NPI number1235875436
StatusActive
Last updated in NPPESMay 10, 2022

Details

NPI
1235875436
Entity type
Organization (NPI-2)
Legal business name
Iwa Homecare
Organization subpart
No
Enumeration date
May 10, 2022
Certification date
May 10, 2022
Last updated
May 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195

Phone 701-809-8225

Mailing address

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195

Phone 701-809-8225

Authorized official

Ada Quee
Owner
7018098225

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