Organization Name: | RIVER CITY TRAIL D/B/A CARING MATTERS HOME CARE |
NPI Number: | 1104216837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAMIEN DEZURIK (CEO) |
Mailing Address: | 10040 Union Terrace Ln N Maple Grove |
State: | MN US |
Postal Code: | 553693441 |
Phone Number: | 7634459199 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2015 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 371615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |