Benevolent Homecare Llc
Home Health Agency in Coon Rapids, MN(View on Map)
Legal Business Name
Benevolent Homecare Llc
NPI Number
1841437316
NPI Type
Organization
Enumeration Date
01/20/2009
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
342640
Contact
Information
Purpose
Mailing
Location
Address
11814 JONQUIL ST NW
11814 JONQUIL ST NW
City
Coon Rapids
Coon Rapids
State
MN
MN
Postal Code
55433-6763
55433-6763
Country
US
US
Telephone Number
(612) 236-5066
(612) 236-5066
Authorized Official
Name
Mr. Samson Tarus
Title or Position
ADMINISTRATOR
Telephone Number
(612) 236-5066
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/20/2009
Provider Address
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