Organization
FAMILY ALLIANCE HEALTHCARE LLC
Active
Other names
FAMILY ALLIANCE HEALTHCARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOODIE OSHIAPI ILUEBBEY REGISTERED NURSE (RN)
(763) 221-4774
Entity
Organization
Contact information
Practice address
5821 CEDAR LAKE RD S UNIT H-106, ST LOUIS PARK, MN 55416-1487
(763) 221-4774
(763) 269-7481
Mailing address
5821 CEDAR LAKE RD S UNIT H-106, ST LOUIS PARK, MN 55416-1487
(763) 221-4774
(763) 269-7481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311Z00000X
Custodial Care Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/02/2024
Last updated
09/03/2024
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