Individual provider · Type 1 NPI

Tequila Buckhanon

Home Health Agency · Brooklyn Center, MN

NPI number 1477170777 Active

Practice location

5701 Shingle Creek Pkwy Ste 250H
Brooklyn Center, MN 55430-2344

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000XNone listed
Home Health Agency Primary 251E00000X10827598 (MN)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1477170777

Tequila Buckhanon's National Provider Identifier is 1477170777, issued on Jul 2, 2020. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Brooklyn Center, MN. The record was last updated on Jul 2, 2020.