Organization

Alpha Group Home Llc

In Home Supportive Care Agency in Minneapolis, MN(View on Map)

Legal Business Name

Alpha Group Home Llc

NPI Number

1477230647

NPI Type

Organization

Enumeration Date

06/29/2023

Specialties

(Taxonomies)

Code

253Z00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2915 S WAYZATA BLVD
2915 S WAYZATA BLVD

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55405-2145
55405-2145

Country

US
US

Telephone Number

(612) 558-4384
(612) 558-4384

Authorized Official

Name

Abdulkadir Jama

Title or Position

OWNER

Telephone Number

(612) 558-4384

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2023

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