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NPI Code Detail

MEDICARE: ASSURE CARE SERVICES INC

MEDICARE: ASSURE CARE SERVICES 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1609231166
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSURE CARE SERVICES INC
Provider Business Mailing Address
First Line : 2817 ANTHONY LN S
Second Line :
City : SAINT ANTHONY
State : MN
Zip : 55418-3254
Country : US
Telephone Number : 612-810-9887
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ANTHONY LN S
Second Line :
City : SAINT ANTHONY
State : MN
Zip : 55418-3254
Country : US
Telephone Number : 612-810-9887
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : FADUMA O DAKANE
Credential :
Telephone Number : 612-810-9887
Provider Enumeration Date : 12/28/2015
Last Update Date : 12/28/2015

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Directions to “ASSURE CARE SERVICES INC ” Practice Location

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