Organization
FM1AFH
Active
Other names
FM1AFH
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN MOHAMUD (OWNER)
(614) 813-7313
Entity
Organization
Contact information
Practice address
1132 GAMMON LN, MADISON, WI 53719-2211
(614) 813-7313
Mailing address
1132 GAMMON LN, MADISON, WI 53719-2211
(614) 813-7313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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