Organization
SHEBA
Active
Parent organization
SHEBA
Other names
Amen Home Care Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEBA
Authorized official
SIMELE ADIMASU (MANAGER)
(651) 354-8821
Entity
Organization
Contact information
Practice address
2303 DAHL AVE E, MAPLEWOOD, MN 55119-5831
(651) 354-8821
Mailing address
2303 DAHL AVE E, MAPLEWOOD, MN 55119-5831
(651) 354-8821
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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