Organization
MIDWEST PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMUD HASSAN (ADMINISTRATOR/OWNER)
(612) 343-3265
Entity
Organization
Contact information
Practice address
801 PARK AVE, MINNEAPOLIS, MN 55404-1136
(612) 343-3265
(612) 343-3267
Mailing address
801 PARK AVE, MINNEAPOLIS, MN 55404-1136
(612) 343-3265
(612) 343-3267
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24359
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24359
MN CLASS A LICENSE
MN
Enumeration date
05/27/2006
Last updated
08/22/2020
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