Organization
ACCESS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT EMBREE (OWNER)
(218) 568-7662
Entity
Organization
Contact information
Practice address
28104 NORWAY RDG, PEQUOT LAKES, MN 56472-2834
(218) 568-7662
(218) 568-7664
Mailing address
28104 NORWAY RDG, PEQUOT LAKES, MN 56472-2834
(218) 568-7662
(218) 568-7664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
332959
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59-85624
MEDICA PROVIDER
MN
05
—
901484500
—
MN
Enumeration date
01/19/2007
Last updated
11/17/2021
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