Organization
GREATMOORE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMINE IRENE ADA (OWNER/PRESIDENT)
(612) 231-2572
Entity
Organization
Contact information
Practice address
433 RIVOLI DR, SAINT PAUL, MN 55130-4453
(612) 231-2572
Mailing address
433 RIVOLI DR, SAINT PAUL, MN 55130-4453
(612) 231-2572
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
05/12/2025
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