Organization
HOME AND COMMUNITY CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSE FARAH (PROGRAM DIRECTOR)
(651) 888-0471
Entity
Organization
Contact information
Practice address
3435 WASHINGTON DR STE 206, EAGAN, MN 55122-1339
(651) 888-0471
Mailing address
3435 WASHINGTON DR STE 206, EAGAN, MN 55122-1339
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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