Organization
TAYUS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOTAYO ADESOLA BODUNWA (DIRECTOR OF NURSING)
(612) 481-8047
Entity
Organization
Contact information
Practice address
3701 66TH AVE N, BROOKLYN CENTER, MN 55429-1815
(612) 481-8047
Mailing address
3701 66TH AVE N, BROOKLYN CENTER, MN 55429-1815
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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