Provider Demographics
NPI:1174912679
Name:AUNTIE EM'S HOME CARE
Entity type:Organization
Organization Name:AUNTIE EM'S HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-913-8363
Mailing Address - Street 1:710 MARION ST SW
Mailing Address - Street 2:
Mailing Address - City:ISANTI
Mailing Address - State:MN
Mailing Address - Zip Code:55040-7251
Mailing Address - Country:US
Mailing Address - Phone:763-913-8363
Mailing Address - Fax:
Practice Address - Street 1:710 MARION ST SW
Practice Address - Street 2:
Practice Address - City:ISANTI
Practice Address - State:MN
Practice Address - Zip Code:55040-7251
Practice Address - Country:US
Practice Address - Phone:763-913-8363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health