Provider Demographics
NPI:1043492093
Name:ELIMARC HEALTH CARE NETWORK INC
Entity Type:Organization
Organization Name:ELIMARC HEALTH CARE NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NKEM
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:OKOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-585-6107
Mailing Address - Street 1:3018 80TH CIR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-1646
Mailing Address - Country:US
Mailing Address - Phone:763-585-6107
Mailing Address - Fax:763-585-6107
Practice Address - Street 1:3018 80TH CIR N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55444-1646
Practice Address - Country:US
Practice Address - Phone:763-585-6107
Practice Address - Fax:763-585-6107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-02
Last Update Date:2007-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health