Organization
FROGTOWN HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIDWAN ISSE (OWNER)
(612) 545-6769
Entity
Organization
Contact information
Practice address
2304 PARK AVE STE 220, MINNEAPOLIS, MN 55404-3756
(612) 463-3454
Mailing address
2304 PARK AVE STE 220, MINNEAPOLIS, MN 55404-3756
(612) 463-3454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/27/2024
Last updated
05/15/2026
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