Brainz LLC

NPI #1649616590 in Fridley, Minnesota

Provider Information

NPI Number: 1649616590
Entity Type: Organization
Organization Name: Brainz LLC
Primary Specialty: Home Health
Enumeration Date: May 20, 2013
Last Updated: May 20, 2013

Practice Location

Address: 7691 CENTRAL AVE NE
Address 2: SUITE 102
City: Fridley
State: Minnesota
ZIP Code: 55432-3560
Phone: (763) 670-5000

Authorized Official

Name: PAULINUS CHAH FULTANG
Title: OWNER
Phone: (763) 670-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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