Provider Demographics
NPI:1295901791
Name:SLEEPY EYE AREA HOME HEALTH INC.
Entity type:Organization
Organization Name:SLEEPY EYE AREA HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SECRETARY/TREASURER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RON
Authorized Official - Middle Name:W
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-941-0305
Mailing Address - Street 1:7530 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3636
Mailing Address - Country:US
Mailing Address - Phone:952-941-0305
Mailing Address - Fax:952-941-0428
Practice Address - Street 1:1100 1ST AVE S
Practice Address - Street 2:
Practice Address - City:SLEEPY EYE
Practice Address - State:MN
Practice Address - Zip Code:56085-1856
Practice Address - Country:US
Practice Address - Phone:507-794-3594
Practice Address - Fax:507-794-5914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN334048251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health