Organization
RENAISSANCE RECUPERATIVE CARE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAFAR YAKUBU NP (NURSE PRACTITIONER)
(347) 614-7199
Entity
Organization
Contact information
Practice address
3701 AMERICAN BLVD E APT 201, BLOOMINGTON, MN 55425-1777
(347) 614-7199
Mailing address
3701 AMERICAN BLVD E APT 201, BLOOMINGTON, MN 55425-1777
(347) 614-7199
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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