Organization · NPI-2
A Chance To Grow, INC.
Home Health · Minneapolis, MN
NPI number1104918143
StatusActive
Last updated in NPPESAug 26, 2009
Details
- NPI
- 1104918143
- Entity type
- Organization (NPI-2)
- Legal business name
- A Chance To Grow, INC.
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Aug 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HFID-02476 A | MN | Yes |
| 152W00000X | Optometrist | 2605 | MN | |
| 152WV0400X | Optometrist, Vision Therapy | 2605 | MN |
Practice location
1800 2nd St NeMinneapolis, MN 55418-4306
Phone 612-789-1236 · Fax 612-706-5555
Mailing address
1800 2nd St NeMinneapolis, MN 55418-4306
Phone 612-789-1236 · Fax 612-706-5555
Authorized official
Erica Jean Dickerson
Director Of Clinical & Home Based
6127891236
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