Organization
ALTA HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMINA ADAN MOHAMED NURSE PRACTITIONER (OWNER)
(614) 961-2438
Entity
Organization
Contact information
Practice address
2718 18TH AVE S APT 2, MINNEAPOLIS, MN 55407-1260
(614) 961-2438
Mailing address
2718 18TH AVE S APT 2, MINNEAPOLIS, MN 55407-1260
(614) 961-2438
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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