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Contact Information

AGEGRACE, INC.
635 PHALEN BLVD APT 401
SAINT PAUL, MN55130-5308
 Phone: 612-707-8121
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for AGEGRACE, INC.

NPI Number 1033738554
LBN Legal business name AGEGRACE, INC.
Authorized official JENNIFER OWENS - (CEO/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2020
Last updated 11/05/2020 - About 6 years ago
Identifiers
MN Medicaid M52298200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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