Organization
PROFESSIONAL PCA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED NUR (PRESIDENT)
(952) 807-8845
Entity
Organization
Contact information
Practice address
2610 E 32ND ST # 1, MINNEAPOLIS, MN 55406-1905
(612) 238-4623
Mailing address
2610 E 32ND ST # 1, MINNEAPOLIS, MN 55406-1905
(612) 238-4623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1127286
MN
Other
Enumeration date
11/24/2009
Last updated
05/31/2016
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