Provider Demographics
NPI:1609137819
Name:VALLEY'S FINEST HOME CARE, LLC
Entity Type:Organization
Organization Name:VALLEY'S FINEST HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:D
Authorized Official - Last Name:NORDHOUGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-287-2254
Mailing Address - Street 1:3805 S RIVERSHORE DR
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-5620
Mailing Address - Country:US
Mailing Address - Phone:218-287-2254
Mailing Address - Fax:218-287-2254
Practice Address - Street 1:3805 S RIVERSHORE DR
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-5620
Practice Address - Country:US
Practice Address - Phone:218-287-2254
Practice Address - Fax:218-287-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN357195251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health