Organization
CHRISTINE PROFESSIONAL HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE OSARO OHENZUWA M.A. (DIRECTOR)
(763) 464-4072
Entity
Organization
Contact information
Practice address
9970 MADISON ST NE, BLAINE, MN 55434-4207
(763) 464-4072
(763) 784-9322
Mailing address
9970 MADISON ST NE, BLAINE, MN 55434-4207
(763) 464-4072
(763) 784-9322
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HE0108404
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A185457000
UMPI MINNESOTA HEALTH CARE PROGRAM MHCP
MN
01
—
A265455100
UMPI MINNESOTA HEALTH CARE PROGRAM MHCP
MN
01
—
A562678200
UMPI MINNESOTA HEALTH CARE PROGRAMS
MN
01
—
A936637200
UMPI MINNESOTA HEALTH CARE PROGRAM MHCP
MN
Enumeration date
09/07/2008
Last updated
09/07/2008
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