Directions for Life Pca Services, LLC

Organization Active NPI Home Health Agency · Hermantown, MN

NPI 1407130248 · NPPES record last updated Sep 28, 2011

Key facts

NPI
1407130248
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
354301 (MN)
Legal business name
DIRECTIONS FOR LIFE PCA SERVICES, LLC
Practice address
4897 Miller Trunk Hwy Ste 226
Hermantown, MN 55811-1584
Phone
(218) 722-1184
Fax
(218) 727-3677
NPI assigned
Sep 28, 2011
Organization subpart
No

Authorized official

Name
Miss Christine Lynn Meilach
Title
President
Phone
(218) 722-1184

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Directions for Life Pca Services (2 organizations share this tax ID)

Locations

4897 Miller Trunk Hwy
Ste 226
Hermantown, MN 55811
Phone (218) 722-1184

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 354301 MN Yes

Addresses

Primary practice location

4897 Miller Trunk Hwy Ste 226
Hermantown, MN 55811-1584

Mailing address

4897 Miller Trunk Hwy Ste 226
Hermantown, MN 55811-1584
Phone (218) 722-1184

Other providers in Hermantown, MN

All providers in Hermantown, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.