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Organization

ACE HOME CARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOBIN T. IBANITORU (DIRECTOR)
(952) 956-2688
Entity
Organization

Contact information

Practice address
500 NORTH GROTTO STREET, SUITE 8, SAINT PAUL, MN 55104
(651) 222-0558
(651) 222-6869
Mailing address
500 NORTH GROTTO STREET, SUITE 8, SAINT PAUL, MN 55104
(651) 222-0558
(651) 222-6869

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
MN
163WC0400X
Case Management Registered Nurse
Primary
MN
376J00000X
Homemaker
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
M883417000
MN
Enumeration date
07/08/2009
Last updated
07/08/2009
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