Organization
INGRESS HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLALEYE SHOBOLA (ADMINISTRATOR)
(952) 261-5733
Entity
Organization
Contact information
Practice address
1020 W MEDICINE LAKE DR, #204, PLYMOUTH, MN 55441-4513
(952) 261-5733
Mailing address
1020 W MEDICINE LAKE DR, #204, PLYMOUTH, MN 55441-4513
(952) 261-5733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
348454
MN
Other
Enumeration date
05/17/2010
Last updated
05/18/2010
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