Organization
SANCTUARY HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWAKEMI AJAYI (OWNER)
(763) 439-8390
Entity
Organization
Contact information
Practice address
1623 SILVER LN, NEW BRIGHTON, MN 55112-7457
(763) 400-4430
Mailing address
10910 BRITTANY DR N, CHAMPLIN, MN 55316-3834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
381837
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381837
COMPREHENSIVE HOME CARE LICENSE
MN
Enumeration date
09/29/2017
Last updated
07/29/2019
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