Organization
COMPASSIONATE CARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS JENKINS (PRESIDENT)
(763) 535-5661
Entity
Organization
Contact information
Practice address
6000 BASS LAKE RD, SUITE 107, CRYSTAL, MN 55429-2700
(763) 535-5661
Mailing address
6000 BASS LAKE RD, SUITE 107, CRYSTAL, MN 55429-2700
(763) 535-5661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
348216
MN
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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