Organization
PEAK HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYODEJI BAMISILE (DIRECTOR OF NURSING)
(651) 354-4496
Entity
Organization
Contact information
Practice address
12689 ERSKIN ST NE, BLAINE, MN 55449-7494
(651) 354-4496
Mailing address
12689 ERSKIN ST NE, BLAINE, MN 55449-7494
(651) 354-4496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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