Organization
CERTIFIED CARE INC
Active
Other names
Certified Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IYABO OLUWAKEMI ADEYEMI (OWNER)
(763) 291-1162
Entity
Organization
Contact information
Practice address
7340 NOBLE CT N, BROOKLYN PARK, MN 55443-3465
(763) 291-1162
Mailing address
4080 W BROADWAY AVE, #140A, ROBBINSDALE, MN 55422-5604
(763) 291-1162
(612) 437-4934
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1081849-1-HCBS
MN
253Z00000X
In Home Supportive Care Agency
1081849-1-HCBS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A236937000
—
MN
Enumeration date
10/19/2016
Last updated
10/19/2016
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