Organization
ECO GREEN CORPORATION
Active
Other names
Green Health, Eco Green Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA OLUGBOLAHAN JUBRIL (OWNER)
(952) 228-1055
Entity
Organization
Contact information
Practice address
3274 98TH CIR N, BROOKLYN PARK, MN 55443-1846
(612) 433-4555
Mailing address
3300 BASS LAKE RD STE 320M, BROOKLYN CENTER, MN 55429-3072
(952) 228-1055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/30/2020
Last updated
10/25/2023
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