Organization
24 - SEVEN HOME CARE INC
Active
Other names
24 - Seven Home Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
OVIE AVWENAGHAGHA (CEO)
(612) 886-2828
Entity
Organization
Contact information
Practice address
7111 W BROADWAY AVE STE 202D, BROOKLYN PARK, MN 55428-1692
(612) 886-2828
Mailing address
7111 W BROADWAY AVE STE 202D, BROOKLYN PARK, MN 55428-1692
(612) 886-2828
(612) 886-2861
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/25/2019
Last updated
01/26/2019
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