Organization
PLATEAU HEALTHCARE JUNE LLC
Active
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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