Provider Demographics
NPI:1114190683
Name:UNIVERSITY HOME HEALTH CARE
Entity type:Organization
Organization Name:UNIVERSITY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-665-0226
Mailing Address - Street 1:379 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 214
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-2000
Mailing Address - Country:US
Mailing Address - Phone:651-665-0226
Mailing Address - Fax:651-204-0826
Practice Address - Street 1:379 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 214
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-2000
Practice Address - Country:US
Practice Address - Phone:651-665-0226
Practice Address - Fax:651-204-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health