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Organization
4 ABC HOME CARE SERVICES
Active
Organization
4 ABC HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINE NELLIE WALKERE OWNER (ADMINSTRATOR)
(763) 227-5990
Entity
Organization
Contact information
Practice address
3300 COUNTY ROAD 10 STE 320D, BROOKLYN CENTER, MN 55429-3072
(763) 227-5990
Mailing address
3300 COUNTY ROAD 10 STE 320D, BROOKLYN CENTER, MN 55429-3072
(763) 227-5990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
05/10/2020
Last updated
07/11/2022
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