NPI 1578099966

Citywide Home Care LLC

Organisation Exclusive Provider Organization Minneapolis, MN

Practice location

Address: 322 S 2nd St Suite 205, Minneapolis, MN 55401-3828
Phone: (612) 388-8139

Authorised official

Name: Kadro a Jama
Title: President
Phone: (612) 388-8139

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Minnesota →

Registry record

NPI: 1578099966
Entity type: Organization
NPI issued: 4 May 2017
Record last updated: 4 May 2017

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.