Organization
ALLEGIANCE ABILITY ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE KHITAM WALETSKI (CEO)
(612) 747-8646
Entity
Organization
Contact information
Practice address
1047 UNIVERSITY AVE W STE 102, SAINT PAUL, MN 55104-4751
(612) 747-8646
Mailing address
1047 UNIVERSITY AVE W STE 102, SAINT PAUL, MN 55104-4751
(612) 747-8646
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
08/06/2019
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