Organization
HOME CARE PROFESSIONALS, INC
Active
Other names
Elmore Assisted living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALAN LECY (DIRECTOR OF OPERATIONS)
(763) 233-7565
Entity
Organization
Contact information
Practice address
800 BOONE AVE N, GOLDEN VALLEY, MN 55427-4468
(763) 233-7564
(763) 417-9999
Mailing address
800 BOONE AVE N, GOLDEN VALLEY, MN 55427-4468
(763) 233-7564
(763) 417-9999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
375331
MN
310400000X
Assisted Living Facility
375339
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
375331
MINNESOTA DEPARTMENT OF HEALTH - TEMPORARY COPMPREHENSIVE HOME CARE
MN
01
—
375339
MINNESOTA DEPARTMENT OF HEALTH - TEMPORARY COPMPREHENSIVE HOME CARE
MN
Enumeration date
12/03/2015
Last updated
12/03/2015
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