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Pro Medical Staffing, INC.

Home Health in Brooklyn Park, MN. Organization (NPI-2).

NPI number1073749941
StatusActive
Last updated in NPPESApr 21, 2010

Details

NPI
1073749941
Entity type
Organization (NPI-2)
Legal business name
Pro Medical Staffing, INC.
Organization subpart
No
Enumeration date
Jun 5, 2009
Last updated
Apr 21, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health343805MNYes

Practice location

7964 Brooklyn Blvd
Suite 216
Brooklyn Park, MN 55445-2722

Phone 763-420-3183 · Fax 763-494-6664

Mailing address

7964 Brooklyn Blvd
Suite 216
Brooklyn Park, MN 55445-2722

Phone 763-420-3183 · Fax 763-494-6664

Authorized official

Alexander O Bassey-Black
Ods
7634203183

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