Organization · NPI-2

African American Family Services

Health Maintenance Organization · Minneapolis, MN

NPI number1376859660
StatusActive
Last updated in NPPESAug 24, 2010

Details

NPI
1376859660
Entity type
Organization (NPI-2)
Legal business name
African American Family Services
Organization subpart
No
Enumeration date
Aug 24, 2010
Last updated
Aug 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization–MNYes

Other names

  • African American Family Services (Former Legal Business Name)

Practice location

2616 Nicollet Ave
Minneapolis, MN 55408-1628

Phone 612-238-2370 · Fax 651-642-0043

Mailing address

2616 Nicollet Ave
Minneapolis, MN 55408-1628

Phone 612-238-2370 · Fax 651-642-0043

Authorized official

Latonya Denise Dupas
Counselor
6122382370

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