| Erickson Home Care | |
|
718 129th Ave Ne Blaine MN 55434-3250 | |
| (763) 222-6562 | |
| Not Available |
| Full Name | Erickson Home Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 718 129th Ave Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Luke Erickson (OWNER) |
| Authorized Official Contact | 7632226562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Home Care 718 129th Ave Ne Blaine MN 55434-3250 Ph: () - | Erickson Home Care 718 129th Ave Ne Blaine MN 55434-3250 Ph: (763) 222-6562 |
| NPI Number | 1437694734 |
|---|---|
| Provider Enumeration Date | 12/23/2016 |
| Last Update Date | 12/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437694734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1080489-1-HCBS (Minnesota) | Primary |
| 253J00000X | Foster Care Agency | 1080489-1-HCBS (Minnesota) | Secondary |
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