Organization
AGAPECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNINNAH KERUBO OBWAYA (CLINICAL RN)
(610) 202-6770
Entity
Organization
Contact information
Practice address
3818 61ST AVE N, BROOKLYN CENTER, MN 55429-2402
(610) 202-6770
(952) 516-5152
Mailing address
12331 PINERIDGE WAY N, DAYTON, MN 55327-2301
(610) 202-6770
(952) 516-5152
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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