Provider Demographics
NPI:1669003885
Name:MAHADD HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:MAHADD HEALTH SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-797-4745
Mailing Address - Street 1:1895 COUNTY ROAD E E STE 210
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-4690
Mailing Address - Country:US
Mailing Address - Phone:612-913-8414
Mailing Address - Fax:651-348-8716
Practice Address - Street 1:1895 COUNTY ROAD E E STE 210
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-4690
Practice Address - Country:US
Practice Address - Phone:651-797-4745
Practice Address - Fax:651-348-8716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health