Organization
ACE PCA SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED ROBLE (DIRECTOR)
(612) 721-9900
Entity
Organization
Contact information
Practice address
2019 E LAKE ST, 7, MINNEAPOLIS, MN 55407-1925
(612) 721-9900
(612) 721-9905
Mailing address
2019 E LAKE ST, 7, MINNEAPOLIS, MN 55407-1925
(612) 721-9900
(612) 721-9905
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
552446600
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388M3AC
BLUE PLUS
MN
05
—
552446600
—
MN
Enumeration date
10/19/2006
Last updated
06/16/2008
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