Organization
THE GRACE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELYN CHINYERE NKWOCHA RN,BSN (OWNER)
(763) 300-1902
Entity
Organization
Contact information
Practice address
9707 PENN AVE N, BROOKLYN PARK, MN 55444-1031
(763) 300-1902
Mailing address
7710 BROOKLYN BLVD STE 206A, BROOKLYN PARK, MN 55443-2938
(763) 300-1902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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