Organization
SECURED HEALTH AND HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIOLA IJADIMBOLA (ADMIN DIRECTOR)
(763) 438-8869
Entity
Organization
Contact information
Practice address
4519 104TH AVE N, BROOKLYN PARK, MN 55443-1030
(763) 438-8869
Mailing address
4519 104TH AVE N, BROOKLYN PARK, MN 55443-1030
(763) 438-8869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Enumeration date
08/26/2020
Last updated
07/20/2021
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