Organization
1 GALAXY OF DIVINE CARING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER O BASSEY-BLACK (ODS)
(763) 463-9313
Entity
Organization
Contact information
Practice address
13570 GROVE DR, SUITE 211, MAPLE GROVE, MN 55311-4400
(763) 463-9313
(763) 494-6709
Mailing address
13570 GROVE DR, SUITE 211, MAPLE GROVE, MN 55311-4400
(763) 463-9313
(763) 494-6709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
343527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A867672200
—
MN
Enumeration date
06/05/2009
Last updated
04/21/2010
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