Provider Demographics
NPI:1215376397
Name:TWINKLE TOES, CORP.
Entity Type:Organization
Organization Name:TWINKLE TOES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:O'SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-257-4317
Mailing Address - Street 1:32058 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:LINDSTROM
Mailing Address - State:MN
Mailing Address - Zip Code:55045-8331
Mailing Address - Country:US
Mailing Address - Phone:651-257-4317
Mailing Address - Fax:651-257-4317
Practice Address - Street 1:32058 LINCOLN RD
Practice Address - Street 2:
Practice Address - City:LINDSTROM
Practice Address - State:MN
Practice Address - Zip Code:55045-8331
Practice Address - Country:US
Practice Address - Phone:651-257-4317
Practice Address - Fax:651-257-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health