Organization · NPI-2
Golden Arms Home Health Care
Assisted Living Facility · Woodbury, MN
NPI number1871125393
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1871125393
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Arms Home Health Care
- Organization subpart
- No
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
3436 Commonwealth AveWoodbury, MN 55125-4315
Phone 952-237-6194
Mailing address
3436 Commonwealth AveWoodbury, MN 55125-4315
Authorized official
Tetteh T Totimeh
Ceo
9522376194
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