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Organization
ECO GREEN CORPORATION
Active
Organization
ECO GREEN CORPORATION
Active
Other names
Green Health, Eco Green Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA OLUGBOLAHAN JUBRIL (OWNER)
(952) 228-1055
Entity
Organization
Contact information
Practice address
3274 98TH CIR N, BROOKLYN PARK, MN 55443-1846
(612) 433-4555
Mailing address
3300 BASS LAKE RD STE 320M, BROOKLYN CENTER, MN 55429-3072
(952) 228-1055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/30/2020
Last updated
10/25/2023
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