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Organization

LAKE TOWN HOMECARE, LLC

Active
Other names
Lake Town HomeCare, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
YASMIN YUSUF (CEO/ PRESIDENT)
(619) 892-1613
Entity
Organization

Contact information

Practice address
4119 SCOTT AVE N, ROBBINSDALE, MN 55422
(619) 892-1613
Mailing address
2121 NICOLLET AVE S SUITE 6, MINNEAPOLIS, MN 55404
(619) 246-0239

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/14/2017
Last updated
05/15/2018
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