# GRAND ETHNIC MINNESOTA HOME CARE LLC

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

## Provider details

- **NPI number:** 1679351860
- **Authorized official:** YAR SHAY (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (651) 246-1740

## Contact information

- **Practice address:** 1973 SLOAN PL STE 230, SAINT PAUL, MN 55117-2084
- **Practice address phone:** (651) 246-1740
- **Mailing address:** 1973 SLOAN PL STE 230, SAINT PAUL, MN 55117-2084
- **Mailing address phone:** (651) 246-1740

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2023
- **Last updated:** 09/19/2023