Organization
T & R HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAY MCKENZIE (MANAGER)
(763) 807-1543
Entity
Organization
Contact information
Practice address
11409 SWALLOW ST NW, COON RAPIDS, MN 55433-3643
(763) 208-1028
(763) 951-3788
Mailing address
1425 109TH LN NW, COON RAPIDS, MN 55433-4214
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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