Organization
1A DIRECT CARE ,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KEHINDE LAMUREN (CEO / OWNER)
(612) 522-9958
Entity
Organization
Contact information
Practice address
617 W. BROADWAY AVE STE #202, MINNEAPOLIS, MN 55411-2712
(612) 522-9958
(612) 522-8999
Mailing address
617 W. BROADWAY AVE STE #202, MINNEAPOLIS, MN 55411-2712
(612) 522-9958
(612) 522-8999
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
358228
MN
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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