Organization
TEOLAK HOME CARE LLC
Active
Other names
Teolak Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADEYEMI AYENI (RN/CEO)
(612) 701-0375
Entity
Organization
Contact information
Practice address
4548 BAILEY LAKE DR, WOODBURY, MN 55129-5508
(612) 701-0375
(612) 701-0375
Mailing address
4548 BAILEY LAKE DR, WOODBURY, MN 55129-5508
(612) 701-0375
(612) 701-0375
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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