Organization
JS & Y DEDICATED HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BUKU KIMBER (OWNER)
(952) 454-8305
Entity
Organization
Contact information
Practice address
13278 94TH AVE N, MAPLE GROVE, MN 55369-9306
(952) 454-8417
Mailing address
13278 94TH AVE N, MAPLE GROVE, MN 55369-9306
(952) 454-8305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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