Kilgore, Latasha

Kilgore, Latasha is an sole proprietor health care provider with primary practice located at 1313 Logan Ave N , Minneapolis MN 55411-3169. She recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Nursing Home Administrator, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is her primary health care specialty. Kilgore, Latasha can be contacted via phone (612) 999-0908.

Contact Information

Primary practice address
1313 Logan Ave N Minneapolis MN 55411-3169
Phone: (612) 999-0908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Nursing Home Administrator 376G00000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1720842677
LBN Legal business name Kilgore, Latasha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2024
Last updated Feb 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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