Organization
PRO-HEALTH HOME CARE AGENCY, LLC
Active
Parent organization
PRO-HEALTH CARE, INC
Other names
Pro-Health PDN Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO-HEALTH CARE, INC
Authorized official
DR. ABDULWAHAB M ASAMARAI M.D., PH.D. (PRESIDENT/CEO)
(763) 746-8155
Entity
Organization
Contact information
Practice address
4710 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1944
(763) 746-8155
(763) 746-8154
Mailing address
4710 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1944
(763) 746-8155
(763) 746-8154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
343901
MN
Other
Enumeration date
03/16/2010
Last updated
05/31/2016
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