# JAC THREE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nurse Next Door - Minnetonka, MN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902534050
- **Authorized official:** MARIA REHLANDER (OWNER)
- **Authorized official phone:** (952) 484-2179

## Contact information

- **Practice address:** 6140 QUINWOOD LN N APT 4116, PLYMOUTH, MN 55442-1296
- **Practice address phone:** (952) 484-2179
- **Mailing address:** 13570 GROVE DR \# 241, MAPLE GROVE, MN 55311-4400

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 11/27/2022
