Organization
KAB COMMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MULLIGAN (DESIGNATED MANAGER & COMPLIANCE)
(651) 313-2089
Entity
Organization
Contact information
Practice address
2466 STILLWATER RD E, MAPLEWOOD, MN 55119-3615
(651) 313-2089
(651) 313-2089
Mailing address
2466 STILLWATER RD E, MAPLEWOOD, MN 55119-3615
(651) 313-2089
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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