Organization
HARRISON SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENE JARES (OWNER/ RN)
(612) 242-1446
Entity
Organization
Contact information
Practice address
7692 FOUNTAIN LN N, MAPLE GROVE, MN 55311-3739
(612) 242-1446
Mailing address
7692 FOUNTAIN LN N, MAPLE GROVE, MN 55311-3739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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