Organization
MENAGE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ANTHONY DOLLERSON (DIRECTOR)
(651) 600-1161
Entity
Organization
Contact information
Practice address
11221 ZION ST NW, COON RAPIDS, MN 55433-3526
(651) 600-1161
Mailing address
1144 28TH AVE N, SAINT CLOUD, MN 56303-2328
(651) 600-1161
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/16/2026
Last updated
07/07/2026
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