Organization
KIND HERATED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE GREEN (OWNER)
(612) 810-3378
Entity
Organization
Contact information
Practice address
7000 MAGDA DR, MAPLE GROVE, MN 55369-5695
(612) 810-3378
Mailing address
7000 MAGDA DR, MAPLE GROVE, MN 55369-5695
(612) 810-3378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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