Organization
LAKESIDE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL ABDULKADIR (OWNER)
(952) 486-2217
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 107-14, SAINT PAUL, MN 55104-0049
(952) 486-2217
Mailing address
1821 UNIVERSITY AVE W STE 107-14, SAINT PAUL, MN 55104-0049
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
11/07/2024
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