Organization
PILGRIM HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK Y NYEMAH III RN (ADMINISTRATOR/OWNER)
(763) 400-1326
Entity
Organization
Contact information
Practice address
3300 COUNTY ROAD 10, SUITE 320M, BROOKLYN CENTER, MN 55429-3072
(763) 400-1326
(763) 307-5942
Mailing address
3300 COUNTY ROAD 10, SUITE 320M, BROOKLYN CENTER, MN 55429-3072
(763) 400-1326
(763) 307-5942
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
32048
MN
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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