Provider Demographics
NPI:1679998710
Name:ABRO HOME CARE INC
Entity type:Organization
Organization Name:ABRO HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABROKWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-214-7867
Mailing Address - Street 1:1550 GRANADA AVE N APT 101
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-4267
Mailing Address - Country:US
Mailing Address - Phone:651-214-7867
Mailing Address - Fax:
Practice Address - Street 1:1550 GRANADA AVE N APT 101
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-4267
Practice Address - Country:US
Practice Address - Phone:651-214-7867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3299792OtherSTATE TAX ID NUMBER