NPI 1134431802

Plateau Healthcare LLC

Organisation Nursing Care Agency Brooklyn Center, MN

Practice location

Address: 6424 June Ave N, Brooklyn Center, MN 55429-2127
Phone: (763) 444-1361
Fax: (763) 444-1358
Mailing address: 8848 Zealand Ave N STE B, Brooklyn Park, MN 55445-1891

Authorised official

Name: Faisale Sale Boukari
Title: President
Phone: (763) 444-1361

Registered specialties (5)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 372551 (MN)

Other Nursing Care providers in Minnesota →

Home Health Agency

Agencies Taxonomy 251E00000X Licence 352764 (MN)

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Nursing Care Agency

Agencies Taxonomy 251J00000X Licence 352764 (MN)

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X Licence 353611 (MN)

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1134431802
Entity type: Organization
NPI issued: 9 Jul 2010
Record last updated: 28 Apr 2023

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.