Organization
GRACE N' CARE L.L.C
Active
Other names
Grace n' Care L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
CYRIL UWAIFO OBOH (OWNER/MANAGING EMPLOYEE)
(612) 707-2094
Entity
Organization
Contact information
Practice address
1405 SILVER LAKE RD NW STE 1, NEW BRIGHTON, MN 55112-9314
(612) 707-2094
(651) 286-3355
Mailing address
1405 SILVER LAKE RD NW STE 1, NEW BRIGHTON, MN 55112-9314
(612) 707-2094
(651) 286-3355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332U00000X
Home Delivered Meals
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A557693600
MNDHS
MN
01
—
A742990300
MNDHS
MN
Enumeration date
03/16/2020
Last updated
11/03/2023
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