Organization · NPI-2

Harrison Supportive Services LLC

Nursing Care · Maple Grove, MN

NPI number1215722996

StatusActive

Last updated in NPPESApr 11, 2025

Details

NPI: 1215722996
Entity type: Organization (NPI-2)
Legal business name: Harrison Supportive Services LLC
Organization subpart: No
Enumeration date: Apr 11, 2025
Certification date: Apr 11, 2025
Last updated: Apr 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251J00000X	Nursing Care	–	–	Yes
251E00000X	Home Health	–	–
310400000X	Assisted Living Facility	–	–
385H00000X	Respite Care	–	–

Practice location

7692 Fountain Ln N
Maple Grove, MN 55311-3739

Phone 612-242-1446

Mailing address

7692 Fountain Ln N
Maple Grove, MN 55311-3739

Authorized official

Magdalene Jares
Owner/ Rn
6122421446

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