Organization
NEW HAVEN HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS OBURE (OWNER/VICE PRESIDENT)
(763) 400-1452
Entity
Organization
Contact information
Practice address
12918 1ST ST STE 130, BECKER, MN 55308-5703
(763) 400-1452
Mailing address
12918 1ST ST STE 130, BECKER, MN 55308-5703
(763) 400-1452
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
10/11/2023
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