Ngufor

NPI 1013297027 - Home Health - 251E00000X

NPI Details
NPI 1013297027
Enumeration Date 08/22/2011
Last Updated 08/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PATRICK AZEH PATRICK
Position OWNER (ADMINISTRATOR)
Phone (651) 329-6478
Fax (763) 205-5899
Practice Location
6500 BROOKLYN BLVD
SUITE 108
BROOKLYN CENTER MN, 55429-1754, US
Phone (651) 329-6478
Fax (763) 205-5899
Business Location
6500 BROOKLYN BLVD
SUITE 108
BROOKLYN CENTER MN, 55429-1754, US
Phone (651) 329-6478
Fax (763) 205-5899
Toxanomy
Taxonomy Code 251E00000X
License State Minnesota
License Number 28144
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According to our database, Ngufor NPI is 1013297027, taxonomy code is 251E00000X and license number is 28144, license state is located at Minnesota. Ngufor physically located at 6500 Brooklyn Blvd, Brooklyn Center MN, 55429-1754. NPI Number 1033115704 has the healthcare provider type.

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1013297027 NPI number is provided on an as is basis without warranty of any kind. 1013297027 is maintained by the National Plan & Provider Enumeration System. The contents of Ngufor are for informational purposes only.