Organization
ELP RIGHT LIVING HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOEBE NANCY NAMULUTA (OWNER/CHIEF OPERATIONS OFFICER)
(818) 401-5101
Entity
Organization
Contact information
Practice address
3035 EAGANDALE PL #101, EAGAN, MN 55121
(818) 401-5101
(651) 454-5383
Mailing address
3035 EAGANDALE PL #101, EAGAN, MN 55121
(818) 401-5101
(651) 454-5383
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5982619
MN TAX ID
MN
Enumeration date
05/02/2019
Last updated
05/02/2019
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