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Coventry Senior Living Of Mahtomedi, Llc
Home Health Agency in Mahtomedi, Minnesota
NPI 1962776187

Coventry Senior Living Of Mahtomedi, Llc is a Home Health Agency based in Mahtomedi, MN. Coventry Senior Living Of Mahtomedi, Llc practices in Mahtomedi, MN. The NPI Number for Coventry Senior Living Of Mahtomedi, Llc is 1962776187 and holds a License No. 355819 (Minnesota).

The current practice location address for Coventry Senior Living Of Mahtomedi, Llc is 720 Mahtomedi Ave, Mahtomedi, MN and can be reached out via phone at 651-528-8442 and via fax at 651-756-8240.

Location: 720 Mahtomedi Ave, Mahtomedi, MN, 55115-1673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962776187
Provider Name
Coventry Senior Living Of Mahtomedi, Llc
Credential
Provider Entity Type
Organization
Address
720 Mahtomedi Ave, Mahtomedi, MN, 55115-1673
Phone Number
651-528-8442
Fax Number
651-756-8240
Provider Enumeration Date
03/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Mahtomedi Ave
City
Mahtomedi
State
Minnesota
Zip
55115-1673
Phone Number
651-528-8442
Fax Number
651-756-8240
person
Provider Business Mailing Address Details
Address
720 Mahtomedi Ave
City
Mahtomedi
State
Minnesota
Zip
55115-1673
Phone Number
651-528-8442
Fax Number
651-756-8240
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
355819 (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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