| NPI | 1154875409 |
|---|---|
| Former Legal Business Name | PACIFIC SENIOR HOME HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | PLOENA HOANG CEO 507-721-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-09-16 |