1104150044 HERMANTOWN VALLEY ELDER CARE

Exclusive Provider Organization

Active

Basic Information

Organization Name
HERMANTOWN VALLEY ELDER CARE
Enumeration Date
September 24, 2009
Last Update
September 24, 2009
Authorized Official
MR. TIMOTHY RUSSELL MAJCHRZAK SR.
OWNER
Phone: (218) 729-9831

Practice Location

Address
5140 WAGNER RD
HERMANTOWN, MN 558102543
Phone
(218) 729-9831

Mailing Address

Address
5140 WAGNER RD
HERMANTOWN, MN 558102543
Phone
(218) 729-9831

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
 302F00000X Exclusive Provider Organization 1031815-4-AFC MN Primary

Other Identifiers

Identifier Type State Issuer
4980573 01 MN MEDICA

Frequently Asked Questions

What is HERMANTOWN VALLEY ELDER CARE's NPI number?
HERMANTOWN VALLEY ELDER CARE's NPI number is 1104150044.
Which doctor has NPI number 1104150044?
The doctor with NPI number 1104150044 is HERMANTOWN VALLEY ELDER CARE.
What is HERMANTOWN VALLEY ELDER CARE's practice address?
HERMANTOWN VALLEY ELDER CARE's practice address is 5140 WAGNER RD, HERMANTOWN, MN, 558102543.
Which doctor practices at 5140 WAGNER RD, HERMANTOWN, MN, 558102543?
HERMANTOWN VALLEY ELDER CARE practices at 5140 WAGNER RD, HERMANTOWN, MN, 558102543.
What is HERMANTOWN VALLEY ELDER CARE's phone number?
HERMANTOWN VALLEY ELDER CARE's phone number is (218) 729-9831.
Who is (218) 729-9831?
(218) 729-9831 is the phone number for HERMANTOWN VALLEY ELDER CARE.
What is HERMANTOWN VALLEY ELDER CARE's specialty?
HERMANTOWN VALLEY ELDER CARE's specialty is Exclusive Provider Organization.
What type of doctor is HERMANTOWN VALLEY ELDER CARE?
HERMANTOWN VALLEY ELDER CARE is a Exclusive Provider Organization.
Is HERMANTOWN VALLEY ELDER CARE a Exclusive Provider Organization?
Yes, HERMANTOWN VALLEY ELDER CARE is a Exclusive Provider Organization.
Is HERMANTOWN VALLEY ELDER CARE still practicing?
Yes, HERMANTOWN VALLEY ELDER CARE is currently practicing.
Is HERMANTOWN VALLEY ELDER CARE accepting new patients?
HERMANTOWN VALLEY ELDER CARE may be accepting new patients. Please call their office at (218) 729-9831 to inquire about availability.
Is NPI 1104150044 still active?
Yes, NPI 1104150044 is currently active.
Where does HERMANTOWN VALLEY ELDER CARE practice?
HERMANTOWN VALLEY ELDER CARE practices in HERMANTOWN, MN.