Provider Demographics
NPI:1508268475
Name:POLAR HEALTH SERVICES
Entity Type:Organization
Organization Name:POLAR HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-777-5995
Mailing Address - Street 1:8561 EDINBURGH CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3724
Mailing Address - Country:US
Mailing Address - Phone:763-777-5995
Mailing Address - Fax:763-777-5974
Practice Address - Street 1:8561 EDINBURGH CENTER DR
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3724
Practice Address - Country:US
Practice Address - Phone:763-777-5995
Practice Address - Fax:763-777-5974
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAB DRUG & MEDICAL-TRANS-SUPPLIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care