Organization
LIVE AT HOME PERSONAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAISENG YANG (MANAGER)
(651) 200-3077
Entity
Organization
Contact information
Practice address
624 FULLER AVE STE 206, SAINT PAUL, MN 55104-4865
(651) 200-3077
(651) 200-3077
Mailing address
624 FULLER AVE STE 206, SAINT PAUL, MN 55104-4865
(651) 200-3077
(651) 200-3624
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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