African Center of Innovation

NPI #1720500390 in Minneapolis, Minnesota

Provider Information

NPI Number
1720500390
Entity Type
Organization
Organization Name
African Center of Innovation
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date
Jul 14, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
2647 BLOOMINGTON AVE S
ZIP Code
55407
Phone
(612) 354-2758

Authorized Official

Name
MR. HIIS BUNEYSTE ILMI, MBA
Title
EXECUTIVE DIRECTOR
Phone
(612) 345-7823

Specialties & Taxonomy Codes

Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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