Organization
SURETY CARE
Active
Other names
SURETY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK ADDAI-POKU (DIRECTOR)
(703) 870-0824
Entity
Organization
Contact information
Practice address
3260 140TH AVE NW, ANDOVER, MN 55304-7554
(703) 870-0824
Mailing address
3260 140TH AVE NW, ANDOVER, MN 55304-7554
(703) 870-0824
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NA
—
Enumeration date
10/10/2022
Last updated
10/10/2022
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