# PERY HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124787668
- **Authorized official:** LAURA AZIA MANGWI (OWNER/PRESIDENT)
- **Authorized official phone:** (507) 291-4198

## Contact information

- **Practice address:** 7160 WALNUT GROVE LN N, MAPLE GROVE, MN 55311-1847
- **Practice address phone:** (763) 291-3476
- **Mailing address:** 7160 WALNUT GROVE LN N, MAPLE GROVE, MN 55311-1847
- **Mailing address phone:** (763) 291-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 12/13/2021