Organization
A1 CARE SHRINERS AT HOME SERVICES INC.
Active
Other names
A1 CARE SHRINERS AT HOME SERVICES INC.
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS MATHIAS KAVUGHA (ADMINISTRATOR)
(651) 587-8502
Entity
Organization
Contact information
Practice address
4665 VICTOR PATH UNIT 2, HUGO, MN 55038-6037
(651) 587-8502
Mailing address
4665 VICTOR PATH UNIT 2, HUGO, MN 55038-6037
(651) 587-8502
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030745700034
—
MN
Enumeration date
10/25/2020
Last updated
10/25/2020
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