# MINNESOTA LOON HOME CARE LLC

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

## Provider details

- **NPI number:** 1386018349
- **Authorized official:** MAFTUHA HASSAN (OWNER)
- **Authorized official phone:** (763) 742-0952

## Contact information

- **Practice address:** 2260 118TH AVE NE, BLAINE, MN 55449-5443
- **Practice address phone:** (763) 742-0952
- **Mailing address:** 2260 118TH AVE NE, BLAINE, MN 55449-5443
- **Mailing address phone:** (763) 742-0952

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2015
- **Last updated:** 11/13/2015