Organization
LAKE COUNTRY HOME CARE LLC
Active
Other names
Lake Country Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICAELA KOEHLER (OWNER/MANAGER)
(218) 385-3422
Entity
Organization
Contact information
Practice address
95 MILLER ST STE E, NEW YORK MILLS, MN 56567-4332
(218) 385-3422
(218) 385-3506
Mailing address
95 MILLER ST STE E, NEW YORK MILLS, MN 56567-4332
(218) 385-3422
(218) 385-3506
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
11/03/2021
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