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Amazing Love Assisted Living LLC

Home Health in Crystal, MN. Organization (NPI-2).

NPI number1881925345
StatusActive
Last updated in NPPESJan 22, 2010

Details

NPI
1881925345
Entity type
Organization (NPI-2)
Legal business name
Amazing Love Assisted Living LLC
Organization subpart
Yes
Enumeration date
Jan 22, 2010
Last updated
Jan 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health345634MNYes

Practice location

5724 Bass Lake Rd
Crystal, MN 55429-2747

Phone 763-561-3434 · Fax 763-561-3636

Mailing address

5724 Bass Lake Rd
Crystal, MN 55429-2747

Phone 763-561-3434 · Fax 763-561-3636

Authorized official

Yemmy T Osonowo
Administrator
7639239413

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