Organization
CARING HEART HOME HEALTHCRAE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARSHAE DECOLE UNDERWOOD (OWNER OF OPERATIONS)
(612) 298-8037
Entity
Organization
Contact information
Practice address
1200 W BROADWAY AVE # 130, MINNEAPOLIS, MN 55411-2572
(612) 298-8037
(952) 303-4664
Mailing address
1200 W BROADWAY AVE # 130, MINNEAPOLIS, MN 55411-2572
(612) 298-8037
(952) 303-4664
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A065413300
HOME HEALTHCARE
MN
Enumeration date
06/24/2020
Last updated
06/24/2020
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