Organization
LIFE CARE PCA LLC
Active
Organization
LIFE CARE PCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA LYN MUSA (OFFICE MANAGER)
(651) 808-5481
Entity
Organization
Contact information
Practice address
17165 GAGE WAY, FARMINGTON, MN 55024-9227
(651) 808-5481
(952) 431-6160
Mailing address
17165 GAGE WAY, FARMINGTON, MN 55024-9227
(651) 808-5481
(952) 431-6160
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1408501-2
MN
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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