Organization
HOPEVILLE HOMES HEALTHCARE SERVICES LLC
Active
Other names
Hopeville Homes
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS WALLACE SMITH JR. (CEO/ADMINISTRATOR)
(763) 843-8850
Entity
Organization
Contact information
Practice address
11330 FLORIDA AVE N, CHAMPLIN, MN 55316-3390
(763) 843-8850
Mailing address
11330 FLORIDA AVE N, CHAMPLIN, MN 55316-3390
(763) 843-8850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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