# IBSON HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023733037
- **Authorized official:** SOKARI OMUGBO AFONYA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (952) 245-9436

## Contact information

- **Practice address:** 4553 HAMPSHIRE AVE N, CRYSTAL, MN 55428-5147
- **Practice address phone:** (218) 280-7287
- **Mailing address:** 4553 HAMPSHIRE AVE N, CRYSTAL, MN 55428-5147
- **Mailing address phone:** (952) 245-9436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 10/12/2022