Organization
CLEAR CARE LLC
Active
Other names
ClearCare HSS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON GABRIEL JOHNSON JR. (OWNER/CEO)
(612) 859-5898
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE S137, SAINT PAUL, MN 55104-2891
(612) 859-5898
(651) 756-1821
Mailing address
1821 UNIVERSITY AVE W STE S137, SAINT PAUL, MN 55104-2891
(612) 859-5898
(651) 756-1821
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A486630300
—
MN
Enumeration date
04/24/2023
Last updated
08/11/2023
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