Organization
XTRA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY NDIDI JIBUNOR (DIRECTOR OF OPERATIONS)
(612) 558-1583
Entity
Organization
Contact information
Practice address
1334 ROOSEVELT ST, ANOKA, MN 55303
(612) 558-1583
(763) 208-0568
Mailing address
1334 ROOSEVELT ST, ANOKA, MN 55303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
05/04/2007
Last updated
09/06/2023
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