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Organization
COMMUNITY OUTREACH SERVICES LLC
Active
Organization
COMMUNITY OUTREACH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY ANN HOLLOWAY (OWNER)
(763) 501-0053
Entity
Organization
Contact information
Practice address
4921 ALDRICH AVE N, BROOKLYN CENTER, MN 55430-3532
(763) 501-0053
(612) 259-8070
Mailing address
4921 ALDRICH AVE N, BROOKLYN CENTER, MN 55430-3532
(763) 501-0053
(612) 259-8070
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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