Activcare Support Services LLC
NPI #1366047813 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1366047813
- Entity Type
- Organization
- Organization Name
- Activcare Support Services LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 7047 GOODVIEW AVE S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-2696
- Phone
- (651) 983-3703
Authorized Official
- Name
- THANDIWE DEWA
- Title
- PRESIDENT
- Phone
- (651) 983-3703
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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