Agegrace, Inc.
NPI #1033738554 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1033738554
- Entity Type
- Organization
- Organization Name
- Agegrace, Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Apr 14, 2020
- Last Updated
- Nov 5, 2020
Practice Location
- Address
- 635 PHALEN BLVD APT 401
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55130-5308
- Phone
- (612) 707-8121
Authorized Official
- Name
- JENNIFER OWENS, QDDS
- Title
- CEO/ADMINISTRATOR
- Phone
- (612) 707-8121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Home Health |
| Community/Behavioral Health |
| In Home Supportive Care |
| Health Maintenance Organization |
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