Organization
AT HOME WITH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA LIVERINGHOUSE (PRESIDENT)
(612) 378-1474
Entity
Organization
Contact information
Practice address
3634 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-1343
(612) 388-2931
(612) 378-1570
Mailing address
3634 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-1343
(612) 388-2931
(612) 378-1570
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
170067000
MN
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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