Organization
HIS SERVICES HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVESTER ALETOR ONAIWU RN (CHIEF EXECUTIVE OFFICER)
(763) 321-0541
Entity
Organization
Contact information
Practice address
2108 70TH AVENUE NORTH, BROOKLYN PARK, MN 55430
(763) 321-0541
(763) 566-4130
Mailing address
2108 70TH AVE N, BROOKLYN CENTER, MN 55430-1003
(763) 321-0541
(763) 566-4130
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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