Organization
ASSIDUOUS GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSA OSMAN (FAMILY NURSE PRACTITIONER)
(612) 245-8475
Entity
Organization
Contact information
Practice address
7348 YORK AVE N, BROOKLYN PARK, MN 55443-3544
(612) 644-3285
Mailing address
7348 YORK AVE N, BROOKLYN PARK, MN 55443-3544
(612) 644-3285
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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