Organization
ELEVATION HOME HEALTHCARE SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SIMPSON BARKER (CEO/ADMINISTRATOR)
(678) 301-8305
Entity
Organization
Contact information
Practice address
5937 COLFAX AVE N, BROOKLYN CENTER, MN 55430-2736
(678) 301-8305
(763) 312-2299
Mailing address
5615 BROOKLYN BLVD STE 200, BROOKLYN CENTER, MN 55429-3086
(763) 316-4128
(763) 312-2299
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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