Organization
PROSPEROUS HOME CARE OF MINNESOTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BANKOWSKI (OWNER/VICE PRESIDENT)
(605) 376-7615
Entity
Organization
Contact information
Practice address
14150 210TH ST, ADRIAN, MN 56110-3160
(605) 376-7615
(605) 408-8340
Mailing address
PO BOX 90122, SIOUX FALLS, SD 57109-0122
(605) 376-7615
(605) 408-8340
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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