| NPI | 1629141213 |
|---|---|
| Doing Business As | PEDIATRIC HOME SERVICE |
| Entity Type | Organization |
| Authorized Contact | CAMEO KAE ZEHNDER Chief Administrative Officer 651-642-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-17 |