Healthcare Provider Details

I. General information

NPI: 1457652232
Provider Name (Legal Business Name): PAPACARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2010
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 WINNETKA AVE N
NEW HOPE MN
55427-2090
US

IV. Provider business mailing address

3410 WINNETKA AVE N
NEW HOPE MN
55427-2090
US

V. Phone/Fax

Practice location:
  • Phone: 612-588-9968
  • Fax:
Mailing address:
  • Phone: 612-588-9968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL A. MENSAH
Title or Position: OFFICER
Credential:
Phone: 612-588-9968