Organization
KESHI HEALTH CARE SERVICES INC
Active
Other names
KESHI HEALTH CARE SERVICES INC, KESHI TRANSITIONING HOUSE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN EMELIKE NWOKOCHA (DIRECTOR)
(612) 229-9623
Entity
Organization
Contact information
Practice address
10316 ORCHARD TRL N, BROOKLYN PARK, MN 55443-1895
(612) 229-9623
Mailing address
10316 ORCHARD TRL N, BROOKLYN PARK, MN 55443-1895
(612) 229-9623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109608
—
MN
Enumeration date
08/11/2021
Last updated
09/15/2021
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