Organization
KINGSWAY HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGDOM KANU (ADMINISTRATOR)
(763) 221-5248
Entity
Organization
Contact information
Practice address
9248 QUEENS GDNS, BROOKLYN PARK, MN 55443-1641
(763) 221-5248
Mailing address
12050 NORWAY ST NW, COON RAPIDS, MN 55448-2242
(763) 221-5248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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