Organization
CARRIE ANNS HOMECARE HOUSES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA D VINES RN (CEO)
(612) 730-6849
Entity
Organization
Contact information
Practice address
22550 MARIE AVE, ROGERS, MN 55374-5808
(612) 730-6849
Mailing address
22550 MARIE AVE, ROGERS, MN 55374-5808
(612) 730-6849
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
R 1535134
MN
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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