Organization
SIP BROTHERS INC.
Active
Other names
Champa Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN SIPHAPASERTH (OWNER)
(612) 245-9177
Entity
Organization
Contact information
Practice address
4618 85TH AVE N, BROOKLYN PARK, MN 55443-1957
(612) 245-9177
Mailing address
4618 85TH AVE N, BROOKLYN PARK, MN 55443-1957
(612) 245-9177
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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