Organization
SPUR OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEENA TOWEH (PROGRAM DIRECTOR)
(612) 423-7904
Entity
Organization
Contact information
Practice address
5200 WILLSON RD STE 150, EDINA, MN 55424-1332
(612) 423-7904
(612) 520-5993
Mailing address
121 83RD AVE NE APT 309, FRIDLEY, MN 55432-1889
(612) 423-7904
(612) 520-5993
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
09/24/2024
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