Organization
FAMILY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GBESSAY GRACE KEMOKAI (MANAGER)
(612) 834-9894
Entity
Organization
Contact information
Practice address
9460 ULYSSES ST NE APT 423, BLAINE, MN 55434-3502
(612) 834-9894
Mailing address
9460 ULYSSES ST NE APT 423, BLAINE, MN 55434-3502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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