Organization
C&C HOME CARE L.L.C.
Active
Other names
C&C Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WALLACE (CEO)
(952) 358-1895
Entity
Organization
Contact information
Practice address
13654 VAN BUREN ST NE STE 300, HAM LAKE, MN 55304-4366
(763) 205-3318
Mailing address
13654 VAN BUREN ST NE STE 300, HAM LAKE, MN 55304-4366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
03/18/2026
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