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NPI Code Detail

MEDICARE: AFRICAN AMERICAN FAMILY SERVICES

MEDICARE: AFRICAN AMERICAN FAMILY SERVICES
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
1251B00000XCase Management Agency8011342CDTMN

General Provider Information

NPI Number : 1013925510
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFRICAN AMERICAN FAMILY SERVICES
Provider Business Mailing Address
First Line : 2616 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-871-7878
Fax Number : 612-871-2811
Provider Business Practice Location Address
First Line : 2616 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-871-7878
Fax Number : 612-871-2567
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. LISSA JONES
Credential :
Telephone Number : 612-238-2304
Provider Enumeration Date : 08/03/2006
Last Update Date : 05/13/2008

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Directions to “AFRICAN AMERICAN FAMILY SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.