Organization
AXIS HOME PCA AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CUBTAN NUR (OWNER)
(612) 354-7714
Entity
Organization
Contact information
Practice address
2417 FREMONT AVE S, MINNEAPOLIS, MN 55405-2648
(612) 354-7714
Mailing address
2417 FREMONT AVE S, MINNEAPOLIS, MN 55405-2648
(612) 354-7714
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
01/31/2022
Last updated
11/12/2025
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