Organization · NPI-2
In Home Health, LLC
Internal Medicine, Hospice and Palliative Medicine · White Bear Lake, MN
NPI number1558072017
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1558072017
- Entity type
- Organization (NPI-2)
- Legal business name
- In Home Health, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 6, 2022
- Certification date
- Dec 2, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – | Yes |
Other names
- Promedica Hospice (Minneapolis) (Doing Business As)
Practice location
3580 Linden Ave Ste A-1White Bear Lake, MN 55110-4625
Phone 651-633-6522
Mailing address
333 N Summit StToledo, OH 43604-1531
Phone 567-585-1191
Authorized official
Martin D Allen
Director
4192525734
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