| Moments Palliative Care Llc | |
|
820 Lilac Dr N Ste 210 Golden Valley MN 55422-4754 | |
| (763) 205-3600 | |
| (763) 205-9350 |
| Full Name | Moments Palliative Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 820 Lilac Dr N Ste 210, Golden Valley, Minnesota |
| Authorized Official Name and Position | Eliyahu Jaffa (OWNER) |
| Authorized Official Contact | 9522206002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moments Palliative Care Llc 820 Lilac Dr N Ste 210 Golden Valley MN 55422-4754 Ph: (763) 205-3600 | Moments Palliative Care Llc 820 Lilac Dr N Ste 210 Golden Valley MN 55422-4754 Ph: (763) 205-3600 |
| NPI Number | 1942766423 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/27/2020 |
| Medicare PECOS PAC ID | 0143561480 |
|---|---|
| Medicare Enrollment ID | O20190415000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942766423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Judah Greenberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114169356 PECOS PAC ID: 7012049794 Enrollment ID: I20100715000439 |
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