Organization
WICARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NYAMEINO LPN (OWNER)
(952) 564-0631
Entity
Organization
Contact information
Practice address
10640 JUNIPER ST NW, COON RAPIDS, MN 55448-6511
(952) 564-0631
(952) 881-0630
Mailing address
10640 JUNIPER ST NW, COON RAPIDS, MN 55448-6511
(952) 564-0631
(952) 881-0630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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