Organization
HEARTLAND PERSONAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ANDREW RODGERS (PRESIDENT)
(612) 239-9968
Entity
Organization
Contact information
Practice address
2219 CHICAGO AVE, MINNEAPOLIS, MN 55404-3842
(612) 239-9968
Mailing address
2219 CHICAGO AVE, MINNEAPOLIS, MN 55404-3842
(612) 239-9968
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA48198920150915
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCA48198920150915
MINNESOTA DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
09/18/2015
Last updated
09/18/2015
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