Organization
OVERCOMER HEALTHCARE SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLANIYI ODEKU LPN (ADMINISTRATOR)
(651) 500-6975
Entity
Organization
Contact information
Practice address
1238 BIRMINGHAM ST, SAINT PAUL, MN 55106-2116
(651) 500-6975
Mailing address
2439 HOMESTEAD AVE N, OAKDALE, MN 55128-5120
(651) 500-6975
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
382067
MN
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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