Total Care Social Services
Early Intervention Provider Agency in Shakopee, MN. Organization (NPI-2).
NPI number1831966720
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1831966720
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Care Social Services
- Organization subpart
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 374U00000X | Home Health Aide | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
7636 Waverly AveShakopee, MN 55379-5733
Phone 612-298-5109
Mailing address
7636 Waverly AveShakopee, MN 55379-5733
Authorized official
Samuel Oribamise
Owner
6122985109
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