# HOMECARE RESOURCE LLC

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

## Provider details

- **NPI number:** 1396048773
- **Authorized official:** CHARIE L DEVOLITES (PRESIDENT)
- **Authorized official phone:** (952) 854-6104

## Contact information

- **Practice address:** 900 AMERICAN BLVD E, SUITE 100, BLOOMINGTON, MN 55420-1392
- **Practice address phone:** (952) 854-6104
- **Mailing address:** 900 AMERICAN BLVD E, SUITE 100, BLOOMINGTON, MN 55420-1392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 332246 | MN | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 12/07/2010
