Organization
HOMECARE ASSIST, INC.
Active
Other names
Petersen Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN LOUISE SANFORD RN (PRESIDENT/OWNER)
(763) 557-1126
Entity
Organization
Contact information
Practice address
12800 INDUSTRIAL PARK BLVD, SUITE 250, PLYMOUTH, MN 55441-3974
(763) 557-1126
(763) 559-2484
Mailing address
12800 INDUSTRIAL PARK BLVD, SUITE 250, PLYMOUTH, MN 55441-3974
(763) 557-1126
(763) 559-2484
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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