Imani Hospitality Homecare

NPI #1295865970 in Saint Paul, Minnesota

Provider Information

NPI Number: 1295865970
Entity Type: Organization
Organization Name: Imani Hospitality Homecare
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Mar 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 501 DALE ST N # 103
City: Saint Paul
State: Minnesota
ZIP Code: 55103-1914
Phone: (651) 917-9015

Authorized Official

Name: DONTRELL V THORNTON
Title: ADMINSTRATOR
Phone: (651) 917-9015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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