Organization · NPI-2

1a Direct Care ,inc.

Home Health · Minneapolis, MN

NPI number1861742207
StatusActive
Last updated in NPPESSep 13, 2012

Details

NPI
1861742207
Entity type
Organization (NPI-2)
Legal business name
1a Direct Care ,inc.
Organization subpart
No
Enumeration date
Sep 13, 2012
Last updated
Sep 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health358228MNYes

Practice location

617 W. Broadway Ave Ste #202
Minneapolis, MN 55411-2712

Phone 612-522-9958 · Fax 612-522-8999

Mailing address

617 W. Broadway Ave Ste #202
Minneapolis, MN 55411-2712

Phone 612-522-9958 · Fax 612-522-8999

Authorized official

Paul Kehinde Lamuren
Ceo / Owner
6125229958

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