| NPI | 1295063063 |
|---|---|
| Doing Business As | HOME CARE VILLAGE, LLC |
| Entity Type | Organization |
| Authorized Contact | OMAR QALINLE Administrator 952-688-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 200933600808) |
| Enumeration Date | 2009-12-05 |
| Last Update Date | 2021-06-10 |