Organization
LIFEARC VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMO HUSSEIN (OWNER)
(612) 512-9006
Entity
Organization
Contact information
Practice address
3130 NORTHDALE BLVD NW APT 308, COON RAPIDS, MN 55433-7421
(612) 512-9006
Mailing address
3130 NORTHDALE BLVD NW APT 308, COON RAPIDS, MN 55433-7421
(612) 512-9006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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