Angel Home Care

Organization Active NPI Home Health Agency · Eden Prairie, MN

NPI 1285935643 · NPPES record last updated Dec 28, 2010

Key facts

NPI
1285935643
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ANGEL HOME CARE
Practice address
10038 Lee Dr
Eden Prairie, MN 55347-4804
Phone
(612) 508-8743
Fax
(800) 710-2348
NPI assigned
Nov 16, 2010
Organization subpart
No

Authorized official

Name
Phouvieng Sivilay
Title
President
Phone
(612) 508-8743

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Yes

Addresses

Primary practice location

10038 Lee Dr
Eden Prairie, MN 55347-4804

Mailing address

10038 Lee Dr
Eden Prairie, MN 55347-4804
Phone (612) 508-8743

Other providers in Eden Prairie, MN

All providers in Eden Prairie, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.