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NPI Code Detail

MEDICARE: ACE HOMEMAKER SERVICE INC

MEDICARE: ACE HOMEMAKER SERVICE 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
1251S00000XCommunity/Behavioral Health AgencyMN

General Provider Information

NPI Number : 1932650900
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE HOMEMAKER SERVICE INC
Provider Business Mailing Address
First Line : 3831 BAKKEN BLVD
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-5056
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3831 BAKKEN BLVD
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-5056
Country : US
Telephone Number : 612-481-1887
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ZUHUUR FARAH
Credential :
Telephone Number : 612-484-1887
Provider Enumeration Date : 10/14/2016
Last Update Date : 10/14/2016

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