Organization
YAMACO HOME HEALTH MEDICAL SUPPLIES INC
Active
Organization
YAMACO HOME HEALTH MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED ZACCHEUS PAYNE SR. (AUTHORIZED AGENT)
(763) 234-6433
Entity
Organization
Contact information
Practice address
8903 PINEVIEW LN N, MAPLE GROVE, MN 55369-6557
(763) 843-5987
(763) 600-6102
Mailing address
6040 EARLE BROWN DR STE 270, BROOKLYN CENTER, MN 55430-4527
(763) 703-5986
(763) 600-6102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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