Organization
ESTEEM NURSING CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL OKIDEGBE (PROGRAM ADMINISTRATOR)
(763) 503-2400
Entity
Organization
Contact information
Practice address
3300 BASS LAKE ROAD, SUITE 108, BROOKLYN CENTER, MN 55429-3072
(763) 503-2400
(763) 503-2401
Mailing address
3300 BASS LAKE ROAD, SUITE 108, BROOKLYN CENTER, MN 55429-3072
(763) 503-2400
(763) 503-2401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
331994
MN
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399493
—
MN
Enumeration date
03/28/2007
Last updated
05/10/2021
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