Organization
AMAZING LOVE ASSISTED LIVING LLC
Active
Parent organization
AMAZING LOVE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMAZING LOVE LLC
Authorized official
MR. YEMMY T OSONOWO (ADMINISTRATOR)
(763) 923-9413
Entity
Organization
Contact information
Practice address
5724 BASS LAKE RD, CRYSTAL, MN 55429-2747
(763) 561-3434
(763) 561-3636
Mailing address
5724 BASS LAKE RD, CRYSTAL, MN 55429-2747
(763) 561-3434
(763) 561-3636
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
345634
MN
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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