# BALSAM HOME CARE INC

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

## Provider details

- **NPI number:** 1275075434
- **Authorized official:** OMAR S ASAMARAI (OWNER)
- **Authorized official phone:** (612) 999-5515

## Contact information

- **Practice address:** 3029 CAREY HEIGHTS DR, MAPLEWOOD, MN 55109-5529
- **Practice address phone:** (612) 999-5515
- **Practice address fax:** (612) 568-9507
- **Mailing address:** 3029 CAREY HEIGHTS DR, MAPLEWOOD, MN 55109-5529
- **Mailing address phone:** (612) 999-5515
- **Mailing address fax:** (612) 568-9507

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 11/04/2016