Organization
CHOICE HANDS PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANELL ALYSE KING (ADMINISTRATOR)
(612) 462-6111
Entity
Organization
Contact information
Practice address
11901 CENTRAL PARK WAY UNIT 2122, MAPLE GROVE, MN 55369-2652
(763) 401-2447
Mailing address
11901 CENTRAL PARK WAY UNIT 2122, MAPLE GROVE, MN 55369-2652
(612) 513-5288
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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