Mai Der Thao is a Home Health Agency based in Woodbury, MN. Mai Der Thao practices in Woodbury, MN. The NPI Number for Mai Der Thao is 1881202869 and holds a License No. (Minnesota).
The current practice location address for Mai Der Thao is 2349 Amberwood Dr, Woodbury, MN and can be reached out via phone at 651-497-7914.
Location: 2349 Amberwood Dr, Woodbury, MN, 55125-3025
Provider Profile Details
NPI Number
1881202869
Provider Name
Mai Der Thao
Credential
Provider Entity Type
Individual
Gender
Female
Address
2349 Amberwood Dr, Woodbury, MN, 55125-3025
Phone Number
651-497-7914
Fax Number
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850446 | 01 | MN | PERSONAL CARE ASSISTANCE |
Provider Business Practice Location Address Details
Address
2349 Amberwood Dr
City
State
Zip
55125-3025
Phone Number
651-497-7914
Fax Number
Provider Business Mailing Address Details
Address
2349 Amberwood Dr
City
State
Zip
55125-3025
Phone Number
651-497-7914
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
(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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