Organization
ANGELS OF MERCY HOMECARE SERVICES; INC.
Active
Parent organization
ANGELS OF MERCY HOMECARE SERVICES; INC.
Other names
Private Duty Nurse Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELS OF MERCY HOMECARE SERVICES; INC.
Authorized official
MR. FOLUSO AYOTUNKU ALLISON (ADMINISTRATOR)
(763) 432-9706
Entity
Organization
Contact information
Practice address
6018 HALIFAX PL, BROOKLYN CENTER, MN 55429-2440
(763) 432-9706
(763) 432-9708
Mailing address
6018 HALIFAX PL, BROOKLYN CENTER, MN 55429-2440
(763) 432-9706
(763) 432-9708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
340166
MN
314000000X
Skilled Nursing Facility
340801
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366622615
—
MN
01
—
A432120000
MHCP UMP
MN
Enumeration date
12/13/2008
Last updated
12/13/2008
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