Organization
HISBIZMN, DBA COMFORT KEEPERS #424
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY MARIE LINDELL (OWNER)
(763) 785-0387
Entity
Organization
Contact information
Practice address
7940 RANCHERS RD NE STE B, FRIDLEY, MN 55432-1804
(763) 785-0387
Mailing address
7940 RANCHERS RD NE STE B, FRIDLEY, MN 55432-1804
(763) 785-0387
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
337496
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
827482000
ALTERNATIVE CARE AND ELDERLY WAIVER
MN
Enumeration date
05/01/2008
Last updated
05/01/2008
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