Organization
ORIVIX HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHADRACK BRADFORD ORURE RN (LALD)
(763) 447-5494
Entity
Organization
Contact information
Practice address
5424 LOGAN AVE N, BROOKLYN CENTER, MN 55430-3023
(763) 447-5494
Mailing address
11519 JONQUIL ST NW, COON RAPIDS, MN 55433-2863
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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