Organization
HOME CARE PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MOKANDU OMAE (OWNER)
(612) 244-4611
Entity
Organization
Contact information
Practice address
2435 136TH LN NW, ANDOVER, MN 55304-3872
(612) 244-4611
Mailing address
2435 136TH LN NW, ANDOVER, MN 55304-3872
(612) 244-4611
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1060451-1-AFC
MN
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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