Organization
CLINIQUE HEALTHCARE SERVICES, INC
Active
Other names
CLINIQUE HEALTHCARE SERVICES, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NNENNA GRACE ORJINTA (RN ADMINISTRATOR)
(763) 503-4757
Entity
Organization
Contact information
Practice address
6000 BASS LAKE RD STE 204, CRYSTAL, MN 55429-2765
(763) 503-4757
Mailing address
6000 BASS LAKE RD STE 204, CRYSTAL, MN 55429-2765
(763) 503-4757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
338180
MN
Other
Enumeration date
11/30/2007
Last updated
08/18/2016
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