Loon Lake Living Care INC
NPI #1508666983 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1508666983
- Entity Type
- Organization
- Organization Name
- Loon Lake Living Care INC
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 15, 2025
- Last Updated
- Mar 15, 2025
Practice Location
- Address
- 400 FORD RD APT 215
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55426-1012
- Phone
- (615) 308-2668
Authorized Official
- Name
- DEK A HAJI
- Title
- MANAGER
- Phone
- (615) 308-2668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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