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Organization
FLORENCE HOME CARE LLC
Active
Organization
FLORENCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER RYAN JOHNSON (CO-OWNER)
(763) 516-3415
Entity
Organization
Contact information
Practice address
1034 ADAMS ST, ANOKA, MN 55303-2620
(763) 516-3415
Mailing address
1034 ADAMS ST, ANOKA, MN 55303-2620
(763) 516-3415
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
NULL
163WA2000X
Administrator Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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