Organization
MAINS'L FLORIDA
Active
Other names
Mains'l Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA CAROL WILLIAMS (CHIEF OPERATING OFFICER)
(612) 269-4694
Entity
Organization
Contact information
Practice address
7000 78TH AVE N, BROOKLYN PARK, MN 55445-2744
(763) 494-4553
(763) 416-9120
Mailing address
7000 78TH AVENUE NORTH, BROOKLYN PARK, MN 55445-2744
(763) 494-4553
(763) 416-9120
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678134968
—
FL
05
—
678134996
—
FL
Enumeration date
01/19/2011
Last updated
01/19/2011
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