Organization
QUALITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZADA KIDANE (MANAGER)
(651) 330-5114
Entity
Organization
Contact information
Practice address
2489 RICE ST STE 115, ROSEVILLE, MN 55113-3795
(651) 330-5114
Mailing address
2489 RICE ST STE 115, ROSEVILLE, MN 55113-3795
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36468612
—
MN
Enumeration date
02/06/2020
Last updated
02/06/2020
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