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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