Organization · NPI-2

1 Galaxy Of Divine Caring, INC.

Home Health · Maple Grove, MN

NPI number1457587321
StatusActive
Last updated in NPPESApr 21, 2010

Details

NPI
1457587321
Entity type
Organization (NPI-2)
Legal business name
1 Galaxy Of Divine Caring, INC.
Organization subpart
No
Enumeration date
Jun 5, 2009
Last updated
Apr 21, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health343527MNYes

Practice location

13570 Grove Dr
Suite 211
Maple Grove, MN 55311-4400

Phone 763-463-9313 · Fax 763-494-6709

Mailing address

13570 Grove Dr
Suite 211
Maple Grove, MN 55311-4400

Phone 763-463-9313 · Fax 763-494-6709

Authorized official

Alexander O Bassey-Black
Ods
7634639313

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