Healthcare Provider Details

I. General information

NPI: 1841899846
Provider Name (Legal Business Name): HANDS ON CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 MARSHALL AVE STE 108
SAINT PAUL MN
55104-6345
US

IV. Provider business mailing address

1437 MARSHALL AVE STE 108
SAINT PAUL MN
55104-6345
US

V. Phone/Fax

Practice location:
  • Phone: 612-636-0773
  • Fax:
Mailing address:
  • Phone: 612-636-0773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MUNA KHALIF
Title or Position: OWNER
Credential:
Phone: 952-277-9432