Organization
IN CHARGE HOME HEALTHCARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELGELU FELEMA RN, BSN (CEO, CO-OWNER)
(651) 332-4220
Entity
Organization
Contact information
Practice address
413 CENTRAL AVE W, SAINT PAUL, MN 55103-2219
(651) 332-4220
Mailing address
413 CENTRAL AVE W, SAINT PAUL, MN 55103-2219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3468804-2
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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