Organization
ABBEYCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIYA GOKHBERG (CEO)
(651) 690-5352
Entity
Organization
Contact information
Practice address
1148 GRAND AVENUE, ST. PAUL, MN 55105
(651) 690-5352
(651) 209-8065
Mailing address
1148 GRAND AVENUE, ST. PAUL, MN 55105
(651) 690-5352
(651) 209-8065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R-2065250
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A632633100
—
MN
Enumeration date
08/01/2014
Last updated
08/01/2014
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