Provider Demographics
NPI:1215777479
Name:NUTURE CARE LLC
Entity type:Organization
Organization Name:NUTURE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEOLA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:ADIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-354-1282
Mailing Address - Street 1:14650 FOLIAGE AVE APT 14208
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6558
Mailing Address - Country:US
Mailing Address - Phone:651-354-1282
Mailing Address - Fax:
Practice Address - Street 1:1680 144TH ST E
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068
Practice Address - Country:US
Practice Address - Phone:651-354-1282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-27
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center