Organization
PLATEAU HEALTHCARE JUNE LLC
Active
Other names
PHC June
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAISALE BOUKARI (PRESIDENT)
(763) 444-1361
Entity
Organization
Contact information
Practice address
6424 JUNE AVE N, BROOKLYN CENTER, MN 55429-2127
(763) 444-1361
(763) 444-1358
Mailing address
8848 ZEALAND AVE N STE B, BROOKLYN PARK, MN 55445-1891
(763) 444-1361
(763) 444-1358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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