Provider First Line Business Practice Location Address:
EH HOME CARE WEST-DL
Provider Second Line Business Practice Location Address:
114 FRAZEE STREET EAST
Provider Business Practice Location Address City Name:
DETROIT LAKES
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-847-0808
Provider Business Practice Location Address Fax Number:
218-847-0850
Provider Enumeration Date:
03/18/2019