Organization
LOON LAKE LIVING CARE INC
Active
Other names
Loon Lake Living Care INC
Organization subpart
No
Provider details
NPI number
Authorized official
DEK A HAJI (MANAGER)
(615) 308-2668
Entity
Organization
Contact information
Practice address
400 FORD RD APT 215, SAINT LOUIS PARK, MN 55426-1012
(615) 308-2668
Mailing address
400 FORD RD APT 215, SAINT LOUIS PARK, MN 55426-1012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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