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Organization
YOUR HOME CARE SERVICES, LLC
Active
Organization
YOUR HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIARA CLARK (PRESIDENT, OWNER)
(651) 335-4778
Entity
Organization
Contact information
Practice address
1306 67TH AVE N APT 306, BROOKLYN CENTER, MN 55430-1572
(651) 335-4778
Mailing address
1306 67TH AVE N APT 306, BROOKLYN CENTER, MN 55430-1572
(651) 335-4778
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
332U00000X
Home Delivered Meals
—
NULL
347C00000X
Private Vehicle
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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