Organization
AMAZE HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KIMBA (CEO)
(952) 955-6245
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 410, BROOKLYN CENTER, MN 55430-2491
(952) 955-6245
(952) 679-6340
Mailing address
5701 SHINGLE CREEK PKWY STE 410, BROOKLYN CENTER, MN 55430-2491
(952) 955-6245
(952) 679-6340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5147422
—
MN
Enumeration date
11/05/2018
Last updated
11/05/2018
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