Provider Demographics
NPI:1336752294
Name:ASSURANCE HEALTH CARE SYSTEMS OF MINNESOTA LIMITED
Entity Type:Organization
Organization Name:ASSURANCE HEALTH CARE SYSTEMS OF MINNESOTA LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLAWALE
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:ALAGBALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-313-3195
Mailing Address - Street 1:7418 75TH CIR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1261
Mailing Address - Country:US
Mailing Address - Phone:763-313-3195
Mailing Address - Fax:855-802-7958
Practice Address - Street 1:7418 75TH CIR N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55428-1261
Practice Address - Country:US
Practice Address - Phone:763-313-3195
Practice Address - Fax:855-802-7958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health