Organization
CAREGIVERS NETWORK OF MPLS., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN O'MALLEY (CEO)
(952) 935-5581
Entity
Organization
Contact information
Practice address
10709 WAYZATA BLVD, SUITE 121, MINNETONKA, MN 55305-5509
(952) 935-5581
Mailing address
10709 WAYZATA BLVD, SUITE 121, MINNETONKA, MN 55305-5509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
333589
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59-00122
MEDICA
MN
01
—
8376CA
BLUE CROSS & BLUE SHIELD
MN
Enumeration date
04/04/2007
Last updated
08/22/2020
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