Organization
RISING LEGACY HOME HEALTH LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA NICOLE FORREST (OWNER)
(763) 381-7886
Entity
Organization
Contact information
Practice address
4740 42ND AVE N STE 206, ROBBINSDALE, MN 55422-1828
(763) 381-7886
Mailing address
4740 42ND AVE N STE 206, ROBBINSDALE, MN 55422-1828
(763) 381-7886
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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