| Kind Herated Care Llc | |
|
7000 Magda Dr Maple Grove MN 55369-5695 | |
| (612) 810-3378 | |
| Not Available |
| Full Name | Kind Herated Care Llc |
|---|---|
| Speciality | Counselor |
| Location | 7000 Magda Dr, Maple Grove, Minnesota |
| Authorized Official Name and Position | Monique Green (OWNER) |
| Authorized Official Contact | 6128103378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kind Herated Care Llc 7000 Magda Dr Maple Grove MN 55369-5695 Ph: (612) 810-3378 | Kind Herated Care Llc 7000 Magda Dr Maple Grove MN 55369-5695 Ph: (612) 810-3378 |
| NPI Number | 1053159566 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053159566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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