Organization
RIVER SIDE HOME CARE PROVIDER'S, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCOS ADAMO BEKUTO (PRESIDENT)
(612) 964-1735
Entity
Organization
Contact information
Practice address
1929 S 5TH ST STE 201, MINNEAPOLIS, MN 55454-1274
(612) 359-9917
(612) 359-9918
Mailing address
1929 S 5TH ST STE 201, MINNEAPOLIS, MN 55454-1274
(612) 359-9917
(612) 359-9918
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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