Organization
PERY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA AZIA MANGWI (OWNER/PRESIDENT)
(507) 291-4198
Entity
Organization
Contact information
Practice address
7160 WALNUT GROVE LN N, MAPLE GROVE, MN 55311-1847
(763) 291-3476
Mailing address
7160 WALNUT GROVE LN N, MAPLE GROVE, MN 55311-1847
(763) 291-3476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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