# 4 ABC HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1982226262
- **Authorized official:** ANGELINE NELLIE WALKERE OWNER (ADMINSTRATOR)
- **Authorized official phone:** (763) 227-5990

## Contact information

- **Practice address:** 3300 COUNTY ROAD 10 STE 320D, BROOKLYN CENTER, MN 55429-3072
- **Practice address phone:** (763) 227-5990
- **Mailing address:** 3300 COUNTY ROAD 10 STE 320D, BROOKLYN CENTER, MN 55429-3072
- **Mailing address phone:** (763) 227-5990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 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