Healthcare Provider Details

I. General information

NPI: 1255808499
Provider Name (Legal Business Name): PEOPLE SERVING PEOPLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 S 3RD ST
MINNEAPOLIS MN
55415-1104
US

IV. Provider business mailing address

614 S 3RD ST
MINNEAPOLIS MN
55415-1104
US

V. Phone/Fax

Practice location:
  • Phone: 612-227-0243
  • Fax: 612-333-7608
Mailing address:
  • Phone: 612-227-0243
  • Fax: 612-333-7608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH SMITH
Title or Position: DIRECTOR OF ADMIN. AND COMPLIANCE
Credential:
Phone: 612-277-0243