Unknown Organization
NPI #1992482228 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1992482228
- Entity Type
- Organization
- Organization Name
- Unknown Organization
- Primary Specialty
- Home Health
- Enumeration Date
- Jun 29, 2023
- Last Updated
- Jun 29, 2023
Practice Location
- Address
- 1069 GRANDVIEW WAY APT 225
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-3377
- Phone
- (612) 501-2544
Authorized Official
- Name
- ISMAIL ELMI JAMA
- Title
- OWNER
- Phone
- (612) 501-2544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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