Organization
BASRA HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI A ALI (MANAGER)
(612) 501-2677
Entity
Organization
Contact information
Practice address
571 ALDINE ST APT 42, SAINT PAUL, MN 55104-2209
(612) 501-2677
Mailing address
571 ALDINE ST APT 42, SAINT PAUL, MN 55104-2209
(612) 501-2677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
499896200029
MN
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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