Organization
ADVOCATE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH KASONGO CHOWA (CEO AND ADMINISTRATOR)
(651) 410-9126
Entity
Organization
Contact information
Practice address
17910 28TH AVE N, PLYMOUTH, MN 55447-1625
(763) 317-0563
(763) 205-8871
Mailing address
17910 28TH AVE N, PLYMOUTH, MN 55447-1625
(651) 410-9126
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
11/04/2024
Last updated
04/10/2025
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