Organization
GRACE HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAMDI SADE AFYARE N/N (DIRECTOR)
(612) 354-3823
Entity
Organization
Contact information
Practice address
1520 E 66TH ST STE 1, RICHFIELD, MN 55423-2675
(612) 354-3823
Mailing address
1520 E 66TH ST STE 1, RICHFIELD, MN 55423-2675
(612) 354-3823
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
368030
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A799122200
MHCP WAIVER UMP #
MN
01
—
A897667200
MHCP UMPI
MN
Enumeration date
01/22/2015
Last updated
04/22/2015
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