Organization
KC HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOLAWOLE LOOKMAN AMUSAN (OWNER)
(651) 442-1716
Entity
Organization
Contact information
Practice address
295 MCNIGHT ROAD SOUTH, ST PAUL, MN 55119
(651) 442-1716
Mailing address
295 MCNIGHT ROAD SOUTH, ST PAUL, MN 55119
(651) 442-1716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
344292
MN
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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