Maxicare Minnesota, INC

NPI #1447401732 in Plymouth, Minnesota

Provider Information

NPI Number: 1447401732
Entity Type: Organization
Organization Name: Maxicare Minnesota, INC
Primary Specialty: Home Health
Enumeration Date: Oct 4, 2008
Last Updated: Oct 4, 2008

Practice Location

Address: 10700 HIGHWAY 55
Address 2: STE PH
City: Plymouth
State: Minnesota
ZIP Code: 55441-6100
Phone: (612) 695-8953

Authorized Official

Name: MRS. VERONICA K GARLEY
Title: PRESIDENT
Phone: (612) 695-8953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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