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Organization
PURESTART SERVICES LLC
Active
Organization
PURESTART SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYASIR O FARAH DAHIR (OWNER)
(612) 991-4529
Entity
Organization
Contact information
Practice address
322 W LAKE ST STE 227, MINNEAPOLIS, MN 55408-5203
(612) 991-4529
Mailing address
322 W LAKE ST STE 227, MINNEAPOLIS, MN 55408-5203
(612) 991-4529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
09/19/2023
Last updated
06/11/2025
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