Organization
MAXICARE MINNESOTA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA K GARLEY (PRESIDENT)
(612) 695-8953
Entity
Organization
Contact information
Practice address
10700 HIGHWAY 55, STE PH, PLYMOUTH, MN 55441-6100
(612) 695-8953
(763) 390-5722
Mailing address
10700 HIGHWAY 55, STE PH, PLYMOUTH, MN 55441-6100
(612) 695-8953
(763) 390-5722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/04/2008
Last updated
10/04/2008
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