| NPI | 1598300048 |
|---|---|
| Doing Business As | CITY OF LAKES HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | HODAN ALI SALAT Authorized Official 651-398-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-02-16 |