Organization · NPI-2
Adult Day Care
Home Health · Brooklyn Park, MN
NPI number1740669316
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1740669316
- Entity type
- Organization (NPI-2)
- Legal business name
- Adult Day Care
- Organization subpart
- No
- Enumeration date
- May 28, 2015
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Pinnacle Health Services (Doing Business As)
Practice location
7040 Lakeland Ave N Ste 207bBrooklyn Park, MN 55428-5622
Phone 404-917-4346
Mailing address
879 Carriage Run CtLawrenceville, GA 30046-2414
Phone 404-917-4346 · Fax 866-493-9554
Other practice locations
220 Ivey Ln
Winder, GA 30680-3496
Winder, GA 30680-3496
Phone 040-917-4346 · Fax 404-420-2801
Authorized official
Leja Faith Lo
Owner
4049174346
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