Organization
IBSON HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOKARI OMUGBO AFONYA (CHIEF EXECUTIVE OFFICER)
(952) 245-9436
Entity
Organization
Contact information
Practice address
4553 HAMPSHIRE AVE N, CRYSTAL, MN 55428-5147
(218) 280-7287
Mailing address
4553 HAMPSHIRE AVE N, CRYSTAL, MN 55428-5147
(952) 245-9436
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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