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Organization
SELECT HOME CARE, LLC
Active
Organization
SELECT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAY MCKENZIE (MANAGER)
(612) 237-8034
Entity
Organization
Contact information
Practice address
7714 BROOKLYN BLVD STE 200-D, BROOKLYN PARK, MN 55443-2936
(763) 777-8293
(763) 777-8296
Mailing address
7714 BROOKLYN BLVD STE 200-D, BROOKLYN PARK, MN 55443-2936
(763) 777-8293
(763) 777-8296
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
314000000X
Skilled Nursing Facility
—
NULL
Other
Enumeration date
12/01/2018
Last updated
02/15/2019
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