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Organization
THE GRACE HOME HEALTH SERVICES LLC
Active
Organization
THE GRACE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELYN CHINYERE NKWOCHA RN,BSN (OWNER)
(763) 300-1902
Entity
Organization
Contact information
Practice address
9707 PENN AVE N, BROOKLYN PARK, MN 55444-1031
(763) 300-1902
Mailing address
7710 BROOKLYN BLVD STE 206A, BROOKLYN PARK, MN 55443-2938
(763) 300-1902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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