City Of Lakes Home Care LLC
Nursing Care in Saint Paul, MN. Organization (NPI-2).
NPI number1598300048
StatusActive
Last updated in NPPESFeb 16, 2024
Details
- NPI
- 1598300048
- Entity type
- Organization (NPI-2)
- Legal business name
- City Of Lakes Home Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2019
- Certification date
- Feb 2, 2024
- Last updated
- Feb 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Other names
- City Of Lakes Home Care LLC (Doing Business As)
Practice location
393 N Dunlap St Suite 450hSaint Paul, MN 55104-4238
Phone 573-355-0177 · Fax 651-528-8346
Mailing address
393 N Dunlap St Suite 450hSaint Paul, MN 55104-4238
Phone 573-355-0177 · Fax 651-528-8346
Authorized official
Hodan Ali Salat
Authorized Official
6513985667
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