Organization
SAFEWAY HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMARE SOLOMON (OWNER)
(651) 500-1157
Entity
Organization
Contact information
Practice address
1901 LEXINGTON AVE N, ROSEVILLE, MN 55113-6160
(651) 500-1157
Mailing address
1901 LEXINGTON AVE N, ROSEVILLE, MN 55113-6160
(651) 500-1157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A823917000
—
MN
05
—
M496657000
—
MN
Enumeration date
04/05/2019
Last updated
01/14/2025
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