Organization
CODE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUMA OLISA IKEGWUANI (ADMINISTRATOR)
(612) 708-6061
Entity
Organization
Contact information
Practice address
3612 104TH TRL N, BROOKLYN PARK, MN 55443-1011
(612) 708-6061
Mailing address
3612 104TH TRL N, BROOKLYN PARK, MN 55443-1011
(612) 708-6061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
339178
MN
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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