Homebase Support Services LLC

NPI #1659120830 in Brainerd, Minnesota

Provider Information

NPI Number
1659120830
Entity Type
Organization
Organization Name
Homebase Support Services LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HOMEBASE HOUSING SERVICES INC
Primary Specialty
Case Management
Enumeration Date
May 18, 2024
Last Updated
May 24, 2024

Practice Location

Address
14889 NOKAY LAKE RD
ZIP Code
56401-5595
Phone
(218) 831-8710

Authorized Official

Name
RYAN CHRISTOPHER MENZEL
Title
PRESIDENT
Phone
(218) 831-8710

Specialties & Taxonomy Codes

Specialty
Home Health
In Home Supportive Care
Homemaker
Case Management

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