Organization
U-SPAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY J OPIAMENSAH (ADMINISTRATOR)
(612) 235-3060
Entity
Organization
Contact information
Practice address
5637 BROOKLYN BLVD, SUITE 200C, BROOKLYN CENTER, MN 55429-3061
(612) 235-3060
Mailing address
5637 BROOKLYN BLVD STE 200C, BROOKLYN CENTER, MN 55429-3061
(612) 235-3060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
ER3445
MN
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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