Organization
PROVIDENCE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL B GARPUE (CEO)
(612) 703-6760
Entity
Organization
Contact information
Practice address
7426 VINEWOOD LN N, MAPLE GROVE, MN 55311-2811
(161) 270-3760
Mailing address
7426 VINEWOOD LN N, MAPLE GROVE, MN 55311-2811
(161) 270-3760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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