| Dungarvin Minnesota Home Health Care | |
|
1440 Northland Dr Ste 100 Mendota Heights MN 55120-1028 | |
| (651) 699-6050 | |
| (651) 699-7265 |
| Full Name | Dungarvin Minnesota Home Health Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1440 Northland Dr Ste 100, Mendota Heights, Minnesota |
| Authorized Official Name and Position | Lori Kress (CEO) |
| Authorized Official Contact | 6516990206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dungarvin Minnesota Home Health Care 1444 Northland Dr Ste 200 Mendota Heights MN 55120-1032 Ph: (651) 699-0206 | Dungarvin Minnesota Home Health Care 1440 Northland Dr Ste 100 Mendota Heights MN 55120-1028 Ph: (651) 699-6050 |
| NPI Number | 1235122003 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235122003 | NPI | - | NPPES |
| 24-8106 | Other | MN | CMS CERTIFICATION NUMBER (CCN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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