Organization
DIRECT HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM G TOTIMEH (PRESIDENT & CEO)
(763) 898-9162
Entity
Organization
Contact information
Practice address
19449 RUSH ST NW, ELK RIVER, MN 55330-4132
(763) 898-9162
Mailing address
19449 RUSH ST NW, ELK RIVER, MN 55330-4132
(763) 898-9162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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