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Wayne Senior, CEO
Home Health Agency in Andover, Minnesota
NPI 1972107266

Wayne Senior is a Home Health Agency based in Andover, MN. Wayne Senior practices in Andover, MN and has the professional credentials of CEO. The NPI Number for Wayne Senior is 1972107266 and holds a License No. (Minnesota).

The current practice location address for Wayne Senior is 13503 Thrush St Nw, Andover, MN and can be reached out via phone at 763-479-9153.

Location: 13503 Thrush St Nw, Andover, MN, 55304-3991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972107266
Provider Name
Wayne Senior
Credential
CEO
Provider Entity Type
Individual
Gender
Male
Address
13503 Thrush St Nw, Andover, MN, 55304-3991
Phone Number
763-479-9153
Fax Number
Provider Enumeration Date
11/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033395488 05 MN
institution
Provider Business Practice Location Address Details
Address
13503 Thrush St Nw
City
Andover
State
Minnesota
Zip
55304-3991
Phone Number
763-479-9153
Fax Number
person
Provider Business Mailing Address Details
Address
13503 Thrush St Nw
City
Andover
State
Minnesota
Zip
55304-3991
Phone Number
763-479-9153
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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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