Organization · NPI-2

Angel Home Care

Home Health · Eden Prairie, MN

NPI number1285935643
StatusActive
Last updated in NPPESDec 28, 2010

Details

NPI
1285935643
Entity type
Organization (NPI-2)
Legal business name
Angel Home Care
Organization subpart
No
Enumeration date
Nov 16, 2010
Last updated
Dec 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–MNYes

Practice location

10038 Lee Dr
Eden Prairie, MN 55347-4804

Phone 612-508-8743 · Fax 800-710-2348

Mailing address

10038 Lee Dr
Eden Prairie, MN 55347-4804

Phone 612-508-8743 · Fax 800-710-2348

Authorized official

Phouvieng Sivilay
President
6125088743

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