Organization Name: | PRAIRIE HOME HEALTH CARE LLC |
NPI Number: | 1114325867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NAIMA S AWES (OWNER) |
Mailing Address: | 6239 Xerxes Ave S Richfield |
State: | MN US |
Postal Code: | 554231034 |
Phone Number: | 9529920043 |
Fax Number: | 6127219031 |
NPI Enumeration Date: | 12/11/2014 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |