Organization
CARELEGACY PCA AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKINBOWALE JOHN BARBINGTON CEO (CHIEF EXECUTIVE OFFICER)
(763) 561-1439
Entity
Organization
Contact information
Practice address
6901 78TH AVE N STE 101B, BROOKLYN PARK, MN 55445-2720
(763) 561-1439
(763) 566-4793
Mailing address
6901 78TH AVE N STE 101B, BROOKLYN PARK, MN 55445-2720
(763) 561-1439
(763) 566-4793
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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