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Organization
LIVE IN CARE HOME HEALTH LIMITED LIABILITY COMPANY
Active
Organization
LIVE IN CARE HOME HEALTH LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEOKHONMA PHOMSOUKHA (MANAGER)
(763) 843-5996
Entity
Organization
Contact information
Practice address
8625 CHEROKEE DR N, BROOKLYN PARK, MN 55428-1916
(763) 843-5996
Mailing address
7839 85TH CT N, BROOKLYN PARK, MN 55445-2156
(763) 843-5996
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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