Organization
LAKELAND HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTAF KHONDAKAR (ADMINISTRATOR)
(763) 280-6652
Entity
Organization
Contact information
Practice address
1604 COVINGTON LN, EAGAN, MN 55122-2759
(763) 280-6652
Mailing address
1604 COVINGTON LN, EAGAN, MN 55122-2759
(763) 280-6652
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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