Organization
ELEGANT SERVICES L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YASSIN KHADAR MOHAMED (MANAGEMENT)
(612) 442-2008
Entity
Organization
Contact information
Practice address
1405 SILVER LAKE RD NW STE 5, NEW BRIGHTON, MN 55112-9309
(612) 442-2008
(612) 808-2045
Mailing address
1405 SILVER LAKE RD NW STE 5, NEW BRIGHTON, MN 55112-9309
(612) 442-2008
(612) 808-2045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
11/24/2023
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