Healthcare Provider Details

I. General information

NPI: 1982927943
Provider Name (Legal Business Name): INTEGRITY HOMECARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9633 HALE AVE S
COTTAGE GROVE MN
55016-3894
US

IV. Provider business mailing address

9633 HALE AVE S
COTTAGE GROVE MN
55016-3894
US

V. Phone/Fax

Practice location:
  • Phone: 651-769-0114
  • Fax: 651-459-3897
Mailing address:
  • Phone: 651-769-0114
  • Fax: 651-459-3897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number346647
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number346647
License Number StateMN

VIII. Authorized Official

Name: MRS. GRACE OGHENEKARO AKOH-ONOJA
Title or Position: DIRECTOR/PRESIDENT
Credential:
Phone: 651-278-5633