Organization
NKOYO NYONG-BASSEY & FUNMILAYO OKOYA LLC
Active
Other names
Impact Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
NKOYO NYONG-BASSEY (OWNER)
(952) 201-1220
Entity
Organization
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(952) 201-1220
Mailing address
4844 MADISON ST NE, COLUMBIA HEIGHTS, MN 55421-2332
(952) 201-1220
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
12/24/2019
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