Organization
PRO-HEALTH HOME CARE AGENCY, LLC
Active
Parent organization
PRO-HEALTH CARE, INC
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
3989 CENTRAL AVE NE, SUITE 510, COLUMBIA HEIGHTS, MN 55421-3900
(763) 746-8155
(763) 746-8154
Mailing address
3989 CENTRAL AVE NE, SUITE 510, COLUMBIA HEIGHTS, MN 55421-3900
(763) 746-8155
(763) 746-8154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
343901
MN
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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