Organization
IN HOME PERSONAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN GOVRIK (EXECUTIVE DIRECTOR)
(763) 546-1000
Entity
Organization
Contact information
Practice address
1330 GRAND AVE, SAINT PAUL, MN 55105-2607
(763) 546-1000
(763) 546-1018
Mailing address
1330 GRAND AVE, SAINT PAUL, MN 55105-2607
(763) 546-1000
(763) 546-1018
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
380316
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026845300
—
MN
01
—
A026845300
UMPI
MN
Enumeration date
05/21/2007
Last updated
07/21/2022
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