Organization
ROBERSON, INC. HOME CARE PCA
Active
Parent organization
ROBERSON, INC. RESIDENTIAL PROPERTY MANAGEMENT AND MAINTENANCE SERVICE
Other names
Roberson, Inc. Residential Property Management and Maintenance Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERSON, INC. RESIDENTIAL PROPERTY MANAGEMENT AND MAINTENANCE SERVICE
Authorized official
MR. JOSEPH A. ROBERSON SR. PCA (OWNER)
(612) 707-2430
Entity
Organization
Contact information
Practice address
639 PROVIDENCE DR, BOX 7, SHAKOPEE, MN 55379-4550
(612) 707-2430
Mailing address
639 PROVIDENCE DR, BOX 7, SHAKOPEE, MN 55379-4550
(612) 707-2430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA57407320161127
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624120
HOME HEALTH CARE
MN
Enumeration date
12/30/2016
Last updated
12/30/2016
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