Organization
CITYWIDE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADRO A JAMA (PRESIDENT)
(612) 388-8139
Entity
Organization
Contact information
Practice address
322 S 2ND ST, SUITE 205, MINNEAPOLIS, MN 55401-3828
(612) 388-8139
Mailing address
322 S 2ND ST, SUITE 205, MINNEAPOLIS, MN 55401-3828
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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