Organization
JC HEARTFELT HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARD CASTERTON (PROGRAM MANAGER/ OWNER)
(612) 716-8433
Entity
Organization
Contact information
Practice address
38459 TAMWORTH AVE, NORTH BRANCH, MN 55056-4800
(612) 716-8156
(651) 243-5138
Mailing address
PO BOX 204, NORTH BRANCH, MN 55056-0204
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1088566
MN
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
09/27/2017
Last updated
05/17/2019
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