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Organization

YOUR FAVORITE HOME HEALTH CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALEB HAILU (OWNER)
(612) 816-2291
Entity
Organization

Contact information

Practice address
336 LABORE RD, APT 213, LITTLE CANADA, MN 55117-1155
(612) 816-2291
Mailing address
336 LABORE RD, APT 213, LITTLE CANADA, MN 55117-1155
(612) 816-2291

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
612499000027
MN

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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