City of Lakes Home Care LLC
NPI #1598300048 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1598300048
- Entity Type
- Organization
- Organization Name
- City of Lakes Home Care LLC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Nov 7, 2019
- Last Updated
- Feb 16, 2024
Practice Location
- Address
- 393 N DUNLAP ST SUITE 450H
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-4238
- Phone
- (573) 355-0177
Authorized Official
- Name
- HODAN ALI SALAT
- Title
- AUTHORIZED OFFICIAL
- Phone
- (651) 398-5667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Nursing Care |
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