Organization · NPI-2
Avia Home Health Care LLC
Home Health · Eden Prairie, MN
NPI number1841002763
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1841002763
- Entity type
- Organization (NPI-2)
- Legal business name
- Avia Home Health Care LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2025
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
19080 Broadmoore DrEden Prairie, MN 55346-1028
Phone 917-499-5843
Mailing address
19080 Broadmoore DrEden Prairie, MN 55346-1028
Authorized official
Judy Ann Tan
Coo
9174995843
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