Organization
GENTLE HEART HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEENA GBADAMOSI LPN (OWNER)
(763) 533-5500
Entity
Organization
Contact information
Practice address
7252 72ND LN N, BROOKLYN PARK, MN 55428-1631
(763) 913-0325
Mailing address
5914 FREMONT AVE N, BROOKLYN CENTER, MN 55430-2628
(763) 913-0325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
24827
MN
251J00000X
Nursing Care Agency
Primary
24847
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24827
MINNESOTA DEPARTMENT OF HEALTH
MN
Enumeration date
11/17/2014
Last updated
11/17/2014
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