Organization
ULTIMATE CARE GROUP, INC
Active
Other names
IMANI ROCK HEALTH SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED APATA (DIRECTOR)
(763) 560-9890
Entity
Organization
Contact information
Practice address
7040 LAKELAND AVE N, SUITE 208, BROOKLYN PARK, MN 55428-5600
(763) 560-9890
(763) 560-9891
Mailing address
7040 LAKELAND AVE N, SUITE 208, BROOKLYN PARK, MN 55428-5600
(763) 560-9890
(763) 560-9891
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CLASS A 343995
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
CLASS F348031
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A418610000
—
MN
05
—
A866615100
—
MN
05
—
M007903000
—
MN
Enumeration date
08/04/2009
Last updated
10/21/2010
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