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Organization

PURPLE VINE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELIQUE B KAPILA (OWNER/ ASSISTED LIVING DIRECTOR)
(763) 227-8846
Entity
Organization

Contact information

Practice address
3018 THURBER RD, BROOKLYN CENTER, MN 55429-1858
(763) 227-8846
(763) 592-8085
Mailing address
13888 88TH ST NE, OTSEGO, MN 55330-0079
(763) 227-8846
(763) 592-8085

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851953343
GROUP HOME
MN
Enumeration date
05/31/2022
Last updated
05/31/2022
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