Organization
MAGIC HEALTHCARE PARTNERS
Active
Organization
MAGIC HEALTHCARE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONES BITANGE (ADMINISTRATOR)
(952) 807-1685
Entity
Organization
Contact information
Practice address
6000 BASS LAKE RD STE 207, CRYSTAL, MN 55429-2772
(952) 807-1685
(612) 435-1378
Mailing address
6000 BASS LAKE RD STE 207, CRYSTAL, MN 55429-2772
(952) 807-1685
(612) 435-1378
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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