NPI 1033738554

Agegrace, INC.

Organisation Health Maintenance Organization Saint Paul, MN

Practice location

Address: 635 Phalen Blvd APT 401, Saint Paul, MN 55130-5308
Phone: (612) 707-8121
Mailing address: PO Box 28041, Oakdale, MN 55128-0041

Authorised official

Name: Jennifer Owens
Title: Ceo/Administrator
Phone: (612) 707-8121

Registered specialties (5)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1033738554
Entity type: Organization
NPI issued: 14 Apr 2020
Record last updated: 5 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.