Organization
KENN FOLKS PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MOSELY (OWNER)
(404) 889-9978
Entity
Organization
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(404) 889-9978
(612) 206-8032
Mailing address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(404) 889-9978
(612) 206-8032
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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