Provider Demographics
NPI:1851797443
Name:TWIN CITIES NURSING CARE, INC
Entity Type:Organization
Organization Name:TWIN CITIES NURSING CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAIXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-354-8081
Mailing Address - Street 1:1261 PAYNE AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-3668
Mailing Address - Country:US
Mailing Address - Phone:651-354-8081
Mailing Address - Fax:
Practice Address - Street 1:1635 HAZEL ST N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4231
Practice Address - Country:US
Practice Address - Phone:651-354-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN370598163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty