| NPI | 1437694734 |
|---|---|
| Doing Business As | ERICKSON HOME CARE |
| Entity Type | Organization |
| Authorized Contact | LUKE ERICKSON Owner 763-222-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN 1080489-1-HCBS) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MN 1080489-1-HCBS) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2016-12-23 |