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Contact Information

MOONLIGHT HOME HEALTHCARE SERVICES, LLC
2800 SELKIRK DR APT 310C
BURNSVILLE, MN55337-5676
 Phone: 651-347-3096
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Case Management

163WC0400X
 

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for MOONLIGHT HOME HEALTHCARE SERVICES LLC · (Female)

NPI Number 1851781058
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2015
Last updated 01/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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