Organization
GRACEFUL AGING HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE CHAM SECKA (PRESIDENT)
(763) 307-9252
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 250E, BROOKLYN CENTER, MN 55430-2335
(763) 307-9252
(763) 575-8845
Mailing address
5701 SHINGLE CREEK PKWY STE 250E, BROOKLYN CENTER, MN 55430-2335
(763) 307-9252
(763) 575-8845
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
357756
MN
Other
Enumeration date
06/28/2012
Last updated
04/18/2016
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