Organization
SUCCESS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSETOHAMEN ELIZABETH AGENE (PRESIDENT)
(763) 614-6988
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 350A, BROOKLYN CENTER, MN 55430-2485
(763) 614-6988
Mailing address
5701 SHINGLE CREEK PKWY STE 350A, BROOKLYN CENTER, MN 55430-2485
(763) 614-6988
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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