Organization
DOMINION HEALTHCARE SERVICES LLC
Active
Other names
Dominion Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YARIA ISABELLA BANGURA (ADMINISTRATOR)
(612) 812-4744
Entity
Organization
Contact information
Practice address
6918 GRIMES AVE N, BROOKLYN CENTER, MN 55429-1450
(612) 258-8794
Mailing address
6918 GRIMES AVE N, BROOKLYN CENTER, MN 55429-1450
(612) 258-8794
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
06/24/2022
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