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INTERIM HEALTHCARE OF LAKE SUPERIOR, INC.

Home Health Agencies

Duluth, Minnesota

Provider NPI: 1417950874

Organization Information:
Organization Name:  INTERIM HEALTHCARE OF LAKE SUPERIOR, INC.


Practice Location:
332 W SUPERIOR ST SUITE 204 DULUTH, MN 55802 US
Tel: 218-722-0053  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251E00000XAgencies
Home Health
MN327241
Y251E00000XAgencies
Home Health
MN

Other Provider Identifiers:

IssuerNumberStateType
41529800WI05
BLUE CROSS BLUE SHIELD8569INMN01
964355900MN05
UCARE109638MN01
MEDICA59-00052MN01
96435590MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOME HEALTH JOBS MN - Page 1



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