Organization
MANDE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOLLEY SANYANG (OWNER)
(612) 707-1603
Entity
Organization
Contact information
Practice address
2610 CUTTES GROVE AVE, 205, ANOKA, MN 55303
(612) 707-1603
Mailing address
2610 CUTTERS GROVE AVE APT 205, ANOKA, MN 55303-6263
(612) 707-1603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/08/2024
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