Organization
ALPHA CARE FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBOLA ODULOYE (ADMINISTRATOR)
(612) 237-0711
Entity
Organization
Contact information
Practice address
651 ADDISON ALCOVE, WOODBURY, MN 55129-8549
(612) 237-0711
Mailing address
651 ADDISON ALCOVE, WOODBURY, MN 55129-8549
(612) 237-0711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A562193000
—
MN
05
—
R608185079814
—
MN
Enumeration date
05/07/2020
Last updated
05/07/2020
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