Organization
GOSHEN CONCEPT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL TEMITOPE ADEBAYO DIRECTOR (OWNER)
(651) 500-0971
Entity
Organization
Contact information
Practice address
1352 CALUMET AVE, WEST ST PAUL, MN 55118-2516
(651) 500-0971
Mailing address
1352 CALUMET AVE, WEST ST PAUL, MN 55118-2516
(651) 500-0971
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/03/2024
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