Provider Demographics
NPI:1902089923
Name:E& E HOME CARE , INC
Entity Type:Organization
Organization Name:E& E HOME CARE , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-840-6501
Mailing Address - Street 1:11482 BALSAM WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55129-6213
Mailing Address - Country:US
Mailing Address - Phone:612-840-6501
Mailing Address - Fax:
Practice Address - Street 1:11482 BALSAM WAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-6213
Practice Address - Country:US
Practice Address - Phone:612-840-6501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN337096310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility