Organization
NISAKO SERVICES, LLC
Active
Other names
no
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES NYEMA SAYDEE SR. (PRESIDENT)
(612) 703-2901
Entity
Organization
Contact information
Practice address
5201 BRYANT AVE N, SUITE 108, MINNEAPOLIS, MN 55430-3588
(612) 703-2901
(763) 205-2312
Mailing address
5201 BRYANT AVE N, SUITE 108, MINNEAPOLIS, MN 55430-3588
(612) 703-2901
(763) 205-2312
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HE0108404(REV10/00)
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A568602100
MINNESOTA DEPT OF HUMAN SERVICES
MN
Enumeration date
08/26/2011
Last updated
08/26/2011
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