Organization
CROWN MEDICAL HOME HEALTH AGENCY INC
Active
Parent organization
CROWN MEDICAL HOME HEALTH AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROWN MEDICAL HOME HEALTH AGENCY
Authorized official
DR. JOYCE IHIOMA ONYEKABA M.D (DIRECTOR)
(612) 978-3783
Entity
Organization
Contact information
Practice address
1925/1931 1ST AVENUE SOUTH, MINNEAPOLIS, MN 55403-3724
(612) 978-3783
Mailing address
1925/1931 1ST AVENUE SOUTH, MINNEAPOLIS, MN 55403-3724
(612) 978-3783
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
342349
MN
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
338043
MN
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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