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1366047813
ACTIVCARE SUPPORT SERVICES LLC
COTTAGE GROVE, MN
NPI
1366047813
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Entity Type
Organization
Authorized Contact
THANDIWE DEWA
President
651-983-3703
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2020-12-02
Last Update Date
2020-12-07
Business Address
ACTIVCARE SUPPORT SERVICES LLC
7047 GOODVIEW AVE S
COTTAGE GROVE, MN 55016-2696
Phone number: 651-983-3703
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Mailing Address
ACTIVCARE SUPPORT SERVICES LLC
7047 GOODVIEW AVE S
COTTAGE GROVE, MN 55016-2696
Phone number: 651-983-3703
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