Organization
LOVING HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MOMOH ROQUES (OWNER)
(763) 528-8834
Entity
Organization
Contact information
Practice address
6500 BROOKLYN BLVD STE 208, BROOKLYN CENTER, MN 55429-1756
(763) 210-9240
(763) 710-9768
Mailing address
6500 BROOKLYN BLVD STE 208, BROOKLYN CENTER, MN 55429-1756
(763) 210-9240
(763) 710-9768
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
A332463300
MN
253Z00000X
In Home Supportive Care Agency
A476688100
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A332463300
PCPO
MN
01
—
A476688100
245D HOMEMAKER
MN
Enumeration date
06/06/2017
Last updated
07/21/2022
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