Organization
ST. RAPHAEL'S HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN POCTA (OWNER/PRESIDENT)
(612) 358-0489
Entity
Organization
Contact information
Practice address
302 N 3RD ST, WATERTOWN, WI 53094-3723
(612) 358-0489
Mailing address
6555 MAPLE ST, NORTH BRANCH, MN 55056-5744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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