GREEN LAKES LLC
Organization (NPI-2)
Active
Home Health
Provider Information
- NPI Number
1275123200- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 277 COON RAPIDS BLVD NW STE 414, COON RAPIDS, MN, 554335865
- Phone
- (612) 888-5040
- Fax
- (612) 688-7440
Specialties & Taxonomies
Home Health
Primary