Provider Demographics
NPI:1326752288
Name:AKWAABA HOSPICE AND PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:AKWAABA HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISSABELA
Authorized Official - Middle Name:BAABA
Authorized Official - Last Name:KYEI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:612-242-9477
Mailing Address - Street 1:16888 WINTERGREEN ST NW
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-4363
Mailing Address - Country:US
Mailing Address - Phone:612-242-9477
Mailing Address - Fax:
Practice Address - Street 1:16888 WINTERGREEN ST NW
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-4363
Practice Address - Country:US
Practice Address - Phone:612-242-9477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based