Provider Demographics
NPI:1295904332
Name:MINNESTOA HEALTHCARE OPTIONS ,INC
Entity type:Organization
Organization Name:MINNESTOA HEALTHCARE OPTIONS ,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIL-RICH
Authorized Official - Middle Name:JAMAROLIN
Authorized Official - Last Name:CRUTCHER-WARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-772-6517
Mailing Address - Street 1:13143 GROUSE ST NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-1571
Mailing Address - Country:US
Mailing Address - Phone:763-772-6517
Mailing Address - Fax:763-754-2225
Practice Address - Street 1:13143 GROUSE ST NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55448-1571
Practice Address - Country:US
Practice Address - Phone:763-772-6517
Practice Address - Fax:763-754-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health