Organization · NPI-2
Juanita'S Home Health, LLC
Skilled Nursing Facility · Brooklyn Park, MN
NPI number1821428012
StatusActive
Last updated in NPPESNov 25, 2013
Details
- NPI
- 1821428012
- Entity type
- Organization (NPI-2)
- Legal business name
- Juanita'S Home Health, LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2013
- Last updated
- Nov 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
8601 Edinbrook XingApt 331
Brooklyn Park, MN 55443-4015
Phone 763-486-3131
Mailing address
8601 Edinbrook XingApt 331
Brooklyn Park, MN 55443-4015
Phone 763-486-3131
Authorized official
Jose Enrique Perez
Owner
7634863131
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