NPI | 1639710460 |
---|---|
Doing Business As | DOMINION HEALTHCARE SERVICES LLC |
Entity Type | Organization |
Authorized Contact | YARIA ISABELLA BANGURA Administrator 612-812-4744 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2019-10-02 |
Last Update Date | 2022-06-24 |