Organization
B.A COMFORT LIFE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA FRANK ABUKI (OWNER/DIRECTOR)
(612) 226-5905
Entity
Organization
Contact information
Practice address
4325 83RD CIR N, BROOKLYN PARK, MN 55443-2550
(612) 226-5905
Mailing address
3300 COUNTY ROAD 10 STE 204F, BROOKLYN CENTER, MN 55429-3072
(612) 226-5905
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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