Organization
ACE-DJ HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIS ATANGA NDENGE (OWNER)
(651) 261-9296
Entity
Organization
Contact information
Practice address
4682 WYNGATE WAY, FOREST LAKE, MN 55025-9243
(651) 261-9296
Mailing address
4682 WYNGATE WAY, FOREST LAKE, MN 55025-9243
(651) 261-9296
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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