Organization
SUMMIT HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL AFORO (ADMINISTRATOR)
(612) 721-7776
Entity
Organization
Contact information
Practice address
3018 E LAKE ST, MINNEAPOLIS, MN 55406-2001
(612) 721-7776
Mailing address
3018 E LAKE ST, MINNEAPOLIS, MN 55406-2001
(612) 721-7776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013519400
—
MN
Enumeration date
04/21/2009
Last updated
04/21/2009
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