Organization
AMAZING GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNEKA ADAEZE OGBU BSC/MPH (CEO/PRESIDENT)
(651) 329-1853
Entity
Organization
Contact information
Practice address
515 E GRANT ST, APT. 311, MINNEAPOLIS, MN 55404-1400
(651) 329-1853
(612) 343-8618
Mailing address
515 E GRANT ST, APT. 311, MINNEAPOLIS, MN 55404-1400
(651) 329-1853
(612) 343-8618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
374448
MN
3140N1450X
Pediatric Skilled Nursing Facility
374448
MN
Other
Enumeration date
12/10/2012
Last updated
08/31/2015
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