Organization
LAKES HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHIR EGAL (OWNER)
(161) 270-2048
Entity
Organization
Contact information
Practice address
2400 BLAISDELL AVE STE 204, MINNEAPOLIS, MN 55404-3331
(612) 702-0481
Mailing address
2400 BLAISDELL AVE STE 204, MINNEAPOLIS, MN 55404-3331
(612) 702-0481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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