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Provisional Home Health Llc
Home Health Agency in Rockford, Minnesota
NPI 1659659811

Provisional Home Health Llc is a Home Health Agency based in Rockford, MN. Provisional Home Health Llc practices in Rockford, MN. The NPI Number for Provisional Home Health Llc is 1659659811 and holds a License No. 353499 (Minnesota).

The current practice location address for Provisional Home Health Llc is 4110 Maple Hurst Dr S, Rockford, MN and can be reached out via phone at 763-575-7281.

Location: 4110 Maple Hurst Dr S, Rockford, MN, 55373-4565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659659811
Provider Name
Provisional Home Health Llc
Credential
Provider Entity Type
Organization
Address
4110 Maple Hurst Dr S, Rockford, MN, 55373-4565
Phone Number
763-575-7281
Fax Number
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4110 Maple Hurst Dr S
City
Rockford
State
Minnesota
Zip
55373-4565
Phone Number
763-575-7281
Fax Number
person
Provider Business Mailing Address Details
Address
4110 Maple Hurst Dr S
City
Rockford
State
Minnesota
Zip
55373-4565
Phone Number
763-575-7281
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
353499 (Minnesota)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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