Healthcare Provider Details
I. General information
NPI: 1306130687
Provider Name (Legal Business Name): VERACITY HEALTH SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2011
Last Update Date: 12/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3300 COUNTY ROAD 10 STE 405
BROOKLYN CENTER MN
55429-3067
US
IV. Provider business mailing address
3300 COUNTY ROAD 10 STE 405
BROOKLYN CENTER MN
55429-3067
US
V. Phone/Fax
- Phone: 763-208-1797
- Fax: 651-344-0590
- Phone: 763-208-1797
- Fax: 651-344-0590
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MBUTAMBE
ARREY
AKPANG
Title or Position: MR/ VICE CEO
Credential: RN
Phone: 202-658-6844