Organization
MY NURSES CARE HEALTH SERVICES, LLC
Active
Other names
MNCare Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE Z MELCHIZEDEK (OWNER/MANAGER)
(763) 291-5198
Entity
Organization
Contact information
Practice address
4355 KADY AVE NE, SAINT MICHAEL, MN 55376-8498
(763) 291-5198
Mailing address
4355 KADY AVE NE, SAINT MICHAEL, MN 55376-8498
(763) 291-5198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
384924
COMPREHENSIVE HOME CARE LICENSE
MN
Enumeration date
10/28/2018
Last updated
10/28/2018
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