# ST. RAPHAEL'S HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1457195927
- **Authorized official:** GALEN POCTA (OWNER/PRESIDENT)
- **Authorized official phone:** (612) 358-0489

## Contact information

- **Practice address:** 302 N 3RD ST, WATERTOWN, WI 53094-3723
- **Practice address phone:** (612) 358-0489
- **Mailing address:** 6555 MAPLE ST, NORTH BRANCH, MN 55056-5744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 06/20/2024