Organization · NPI-2

21st Century Care Of Minnesota LLC

Home Health · Minneapolis, MN

NPI number1598955288
StatusActive
Last updated in NPPESJan 13, 2009

Details

NPI
1598955288
Entity type
Organization (NPI-2)
Legal business name
21st Century Care Of Minnesota LLC
Organization subpart
No
Enumeration date
Jul 28, 2007
Last updated
Jan 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health433645000MNYes

Practice location

416 E Hennepin Ave
Suite 105
Minneapolis, MN 55414-1006

Phone 612-216-0888

Mailing address

416 E Hennepin Ave
Suite 105
Minneapolis, MN 55414-1006

Phone 612-216-0888

Authorized official

Christopher A Bates
Managing Partner
6122160888

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