Organization
MN PREFFERED HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPER KIBET KETTER (ADMINISTRATOR)
(952) 486-3080
Entity
Organization
Contact information
Practice address
7901 QUAIL AVE N, BROOKLYN PARK, MN 55443-2422
(952) 486-3880
Mailing address
7901 QUAIL AVE N, BROOKLYN PARK, MN 55443
(952) 486-3080
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
342323
MN
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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