Organization Name: | UNIVERSAL CARE |
NPI Number: | 1134566557 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KOLAWOLE BABATUNDE AINA (CEO) |
Mailing Address: | 10208 Karston Ave Ne Albertville |
State: | MN US |
Postal Code: | 553018702 |
Phone Number: | 6125018062 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2013 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | R-170460-6 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |