# MOHAMED SHIDO HASSAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134786130
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 1099334 | MN | Yes |
| 372600000X | Adult Companion | 1099334 | MN | — |
| 376J00000X | Homemaker | 1099334 | MN | — |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 05/24/2019