Organization
CITY OF LAKES HOME CARE LLC
Active
Other names
City of Lakes Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HODAN ALI SALAT (AUTHORIZED OFFICIAL)
(651) 398-5667
Entity
Organization
Contact information
Practice address
393 N DUNLAP ST SUITE 450H, SAINT PAUL, MN 55104-4238
(573) 355-0177
(651) 528-8346
Mailing address
393 N DUNLAP ST SUITE 450H, SAINT PAUL, MN 55104-4238
(573) 355-0177
(651) 528-8346
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
02/16/2024
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