Provider Demographics
NPI:1861216863
Name:ALL FAMILY CARE INC
Entity type:Organization
Organization Name:ALL FAMILY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOUA
Authorized Official - Middle Name:
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-321-3214
Mailing Address - Street 1:20418 EVERTON TRL N
Mailing Address - Street 2:
Mailing Address - City:FOREST LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55025-8161
Mailing Address - Country:US
Mailing Address - Phone:612-532-5889
Mailing Address - Fax:651-204-2868
Practice Address - Street 1:20418 EVERTON TRL N
Practice Address - Street 2:
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025-8161
Practice Address - Country:US
Practice Address - Phone:612-532-5889
Practice Address - Fax:651-204-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health