Citywide Home Care LLC

NPI #1578099966 in Minneapolis, Minnesota

Provider Information

NPI Number
1578099966
Entity Type
Organization
Organization Name
Citywide Home Care LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
May 4, 2017
Last Updated
May 4, 2017

Practice Location

Address
322 S 2ND ST
Address 2
SUITE 205
ZIP Code
55401-3828
Phone
(612) 388-8139

Authorized Official

Name
KADRO A JAMA
Title
PRESIDENT
Phone
(612) 388-8139

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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