Organization
MAGNOLIA HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRO HASSAN FARAH (OWNER)
(612) 267-2005
Entity
Organization
Contact information
Practice address
951 NE LOWRY AVE #314, MINNEAPOLIS, MN 55418
(612) 267-2005
Mailing address
951 NE LOWRY AVE #314, MINNEAPOLIS, MN 55418
(612) 267-2005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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