Provider Demographics
NPI:1083326144
Name:FLOMENA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:FLOMENA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:MISUKA
Authorized Official - Last Name:MSUYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-439-5620
Mailing Address - Street 1:3524 172ND LN NE
Mailing Address - Street 2:
Mailing Address - City:HAM LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55304-4464
Mailing Address - Country:US
Mailing Address - Phone:763-439-5620
Mailing Address - Fax:
Practice Address - Street 1:3524 172ND LN NE
Practice Address - Street 2:
Practice Address - City:HAM LAKE
Practice Address - State:MN
Practice Address - Zip Code:55304-4464
Practice Address - Country:US
Practice Address - Phone:763-439-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty