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Organization

CAREFOCUS CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA MEAD DIRECTOR OF NURSING (DIRECTOR OF NURSING)
(651) 925-5598
Entity
Organization

Contact information

Practice address
2429 UNIVERSITY AVENUE WEST, ST. PAUL, MN 55114
(952) 544-6223
(952) 544-6271
Mailing address
2429 UNIVERSITY AVENUE WEST, ST. PAUL, MN 55114
(651) 925-5598
(651) 925-5599

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
876405100
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000821001
METRO POLITAN HEALTH PLAN
MN
01
150333
UCARE
01
3D30CA
BLUE CROSS BLUE SHIELD
MN
01
5900207
MEDICA
MN
05
876405100
MN
Enumeration date
01/12/2007
Last updated
05/13/2010
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