# MAM PCA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAM Pca Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770304552
- **Authorized official:** MUHUMED A OMAR (PRESIDENT)
- **Authorized official phone:** (612) 532-6183

## Contact information

- **Practice address:** 7471 MITCHELL RD, EDEN PRAIRIE, MN 55344-1980
- **Practice address phone:** (612) 532-6183
- **Mailing address:** 7471 MITCHELL RD, EDEN PRAIRIE, MN 55344-1980
- **Mailing address phone:** (612) 532-6183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 10/23/2024