MEDICARE: SAMEY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1003640053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMEY INC

Provider Business Mailing Address
First Line	:	10727 WOODLAND DR N
Second Line	:
City	:	CHAMPLIN
State	:	MN
Zip	:	55316-3052
Country	:	US
Telephone Number	:	612-229-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7130 FRANCE AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-1446
Country	:	US
Telephone Number	:	612-229-0000
Fax Number	:	763-402-7832

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ZAM ZAM ALI
Credential	:	LALD
Telephone Number	:	612-229-0000

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	08/30/2024

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Directions to “SAMEY INC ” Practice Location

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