Organization
IMANI HOSPITALITY HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONTRELL V THORNTON (ADMINSTRATOR)
(651) 917-9015
Entity
Organization
Contact information
Practice address
501 DALE ST N # 103, SAINT PAUL, MN 55103-1914
(651) 917-9015
(651) 645-7739
Mailing address
501 DALE ST N # 103, SAINT PAUL, MN 55103-1914
(651) 917-9015
(651) 645-7739
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
MN
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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