Alliance Home And Care Provider | |
8102 Northern Dr Crystal MN 55427-2535 | |
(952) 594-0584 | |
Not Available |
Full Name | Alliance Home And Care Provider |
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Speciality | Clinic/center |
Location | 8102 Northern Dr, Crystal, Minnesota |
Authorized Official Name and Position | Leon Kyalo (OWNER) |
Authorized Official Contact | 9525940584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alliance Home And Care Provider 8102 Northern Dr Crystal MN 55427-2535 Ph: (952) 594-0584 | Alliance Home And Care Provider 8102 Northern Dr Crystal MN 55427-2535 Ph: (952) 594-0584 |
NPI Number | 1912718743 |
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Provider Enumeration Date | 01/20/2025 |
Last Update Date | 01/20/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912718743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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