Organization
RISEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE BIAKASASA KAPILA (CHIEF ADMINISTRATIVE OFFICER)
(763) 227-8846
Entity
Organization
Contact information
Practice address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(763) 227-8846
(763) 445-2501
Mailing address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(763) 227-8846
(763) 445-2501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851953343
HOME HEALTH CARE
MN
Enumeration date
12/02/2019
Last updated
12/02/2019
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