Hopeville Homes Healthcare Services LLC

NPI #1053956672 in Champlin, Minnesota

Provider Information

NPI Number: 1053956672
Entity Type: Organization
Organization Name: Hopeville Homes Healthcare Services LLC
Primary Specialty: Home Health
Enumeration Date: Nov 7, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 11330 FLORIDA AVE N
City: Champlin
State: Minnesota
ZIP Code: 55316-3390
Phone: (763) 843-8850

Authorized Official

Name: CARLOS WALLACE SMITH JR.
Title: CEO/ADMINISTRATOR
Phone: (763) 843-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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