# IMANI HOSPITALITY HOMECARE

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

## Provider details

- **NPI number:** 1144554791
- **Authorized official:** MRS. DONTRELL VALERIE THORNTON (OWNER/ADMINSTRATOR)
- **Authorized official phone:** (651) 917-9015

## Contact information

- **Practice address:** 501 DALE ST N, SAINT PAUL, MN 55103-1914
- **Practice address phone:** (651) 917-9015
- **Practice address fax:** (651) 645-9937
- **Mailing address:** 501 DALE ST N, SAINT PAUL, MN 55103-1914
- **Mailing address phone:** (651) 917-9015
- **Mailing address fax:** (651) 645-9937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | A280407700 | MN | Yes |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 09/30/2009