NPI 1124363056
Diversey Home Care, LLC
Practice location
- Address
- 6631 Urbandale Ln N, Maple Grove, MN 55311-1374
- Phone
- (952) 388-7368
Authorised official
- Name
- Winonna Palo
- Title
- Care Manager/Owner
- Phone
- (952) 388-7368
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1124363056
- Entity type
- Organization
- NPI issued
- 4 Dec 2012
- Record last updated
- 4 Dec 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.