Organization
K & B HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOLADE COKER (PROGRAM ADMINISTRATOR)
(763) 862-0169
Entity
Organization
Contact information
Practice address
1428 109TH AVE NW, COON RAPIDS, MN 55433-4211
(763) 862-0169
(763) 862-0365
Mailing address
1428 109TH AVE NW, COON RAPIDS, MN 55433-4211
(763) 862-0169
(763) 862-0365
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
335537
MN
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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