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Organization

LIFEWAYCARE INC

Active
Parent organization
LIFEWAYCARE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFEWAYCARE INC
Authorized official
EMMANUEL AYODELE AGUDA (OWNER/PRESIDENT)
(612) 366-9066
Entity
Organization

Contact information

Practice address
4730 W 129TH ST, SAVAGE, MN 55378-1514
(612) 293-8808
(612) 662-4175
Mailing address
4730 W 129TH ST, SAVAGE, MN 55378-1514
(612) 366-9066
(612) 662-4175

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
314000000X
Skilled Nursing Facility

Other

Enumeration date
04/01/2022
Last updated
05/06/2026
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