Organization
GOODNESS ANS MERCY HEALTH SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADESOLA OLAYINKA OGUNDIPE (ADMINISTRATOR)
(612) 272-0414
Entity
Organization
Contact information
Practice address
3808 61ST AVE N, BROOKLYN CENTER, MN 55429-2402
(651) 631-2535
(651) 631-2538
Mailing address
3808 61ST AVE N, BROOKLYN CENTER, MN 55429-2402
(651) 631-2535
(651) 631-2538
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1072626
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A067623000
—
MN
Enumeration date
08/26/2015
Last updated
08/26/2015
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