Organization
CAPRICIOUS CORPORATION
Active
Other names
kind horizons
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRELA VANDYKE (EXECUTIVE DIRECTOR/ADMINISTRATOR)
(651) 324-9771
Entity
Organization
Contact information
Practice address
5750 COVINGTON RD, EXCELSIOR, MN 55331-9110
(651) 324-9771
(952) 470-0541
Mailing address
5750 COVINGTON RD, EXCELSIOR, MN 55331-9110
(651) 324-9771
(952) 470-0541
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
347630
MN
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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