Organization
PRIDE N LIVING HOME CARE INC .
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN NABUIN WAINDIM (CEO)
(651) 271-2291
Entity
Organization
Contact information
Practice address
7691 CENTRAL AVE NE, SUITE 102, FRIDLEY, MN 55432-3560
(763) 572-2390
(763) 574-2459
Mailing address
7691 CENTRAL AVE NE, SUITE 102, FRIDLEY, MN 55432-3560
(763) 572-2390
(763) 574-2459
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
R 138395-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A313669800
—
MN
Enumeration date
01/10/2007
Last updated
05/22/2025
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