Organization · NPI-2

Prairie Coaching LLC

In Home Supportive Care · Eden Prairie, MN

NPI number1295200772
StatusActive
Last updated in NPPESOct 10, 2018

Details

NPI
1295200772
Entity type
Organization (NPI-2)
Legal business name
Prairie Coaching LLC
Organization subpart
No
Enumeration date
Oct 10, 2018
Last updated
Oct 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

6910 Tartan Curv
Eden Prairie, MN 55346-3360

Phone 612-916-8698

Mailing address

6910 Tartan Curv
Eden Prairie, MN 55346-3360

Phone 612-916-8698

Authorized official

Dale Woodard
President
6129168698

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