Mission Group Home LLC

NPI #1902428287 in Hopkins, Minnesota

Provider Information

NPI Number: 1902428287
Entity Type: Organization
Organization Name: Mission Group Home LLC
Primary Specialty: Home Health Aide
Enumeration Date: May 10, 2020
Last Updated: May 10, 2020

Practice Location

Address: 730 N VAN BUREN WAY
City: Hopkins
State: Minnesota
ZIP Code: 55343-8145
Phone: (507) 210-5357

Authorized Official

Name: MOHAMED AHMED HASSAN
Title: OWNER
Phone: (507) 210-5357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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