Organization
DEENDE LLC
Active
Other names
Deende LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEMENIA GBARBEA NP (ADMINISTRATOR)
(763) 313-4244
Entity
Organization
Contact information
Practice address
3300 COUNTY ROAD 10 STE 304K, BROOKLYN CENTER, MN 55429-3066
(763) 313-4244
Mailing address
3300 COUNTY ROAD 10 STE 304K, BROOKLYN CENTER, MN 55429-3066
(763) 313-4244
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/24/2021
Last updated
10/04/2021
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