Organization
ST RAPHAELS HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN POCTA RN (OWNER/RN)
(612) 358-0489
Entity
Organization
Contact information
Practice address
6555 MAPLE ST, NORTH BRANCH, MN 55056-5744
(612) 358-0489
Mailing address
6555 MAPLE ST, NORTH BRANCH, MN 55056-5744
(612) 358-0489
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/15/2022
Last updated
07/22/2022
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