Organization
DIVINE NURTURING ALLIANCE OF CARING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER O BASSEY-BLACK (ODS)
(763) 463-5911
Entity
Organization
Contact information
Practice address
7964 BROOKLYN BLVD, SUITE 216, BROOKLYN PARK, MN 55445-2722
(763) 463-5911
(763) 494-3782
Mailing address
7964 BROOKLYN BLVD, SUITE 216, BROOKLYN PARK, MN 55445-2722
(763) 463-5911
(763) 494-3782
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
343974
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A607463100
—
MN
Enumeration date
06/05/2009
Last updated
04/22/2010
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