Loveth Amayanvbo, ADMINISTRATOR

Individual provider Active NPI Home Health Aide · Brooklyn Center, MN

NPI 1770638744 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1770638744
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5901 Brooklyn Blvd
Ste 211
Brooklyn Center, MN 55429-2517
Phone
(763) 971-8888
Fax
(763) 971-8892
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

5901 Brooklyn Blvd
Ste 211
Brooklyn Center, MN 55429-2517

Mailing address

5901 Brooklyn Blvd
Ste 211
Brooklyn Center, MN 55429-2517
Phone (763) 971-8888

Other providers in Brooklyn Center, MN

All providers in Brooklyn Center, MN · Home Health Aide in Minnesota

Sources for this page

Verify at the official NPI Registry.