Organization
UNITED HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY THAO (OWNER)
(763) 587-8920
Entity
Organization
Contact information
Practice address
7748 FLORIDA CIR N, BROOKLYN PARK, MN 55445-2724
(763) 587-8920
(612) 521-9917
Mailing address
7748 FLORIDA CIR N, BROOKLYN PARK, MN 55445-2724
(763) 587-8920
(612) 521-9917
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
383938451
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383938451
—
MN
Enumeration date
09/19/2014
Last updated
09/20/2014
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