Organization
HIDDO HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMUD ALI NUR (OWNER)
(507) 319-7168
Entity
Organization
Contact information
Practice address
1619 EASTWOOD RD SE, ROCHESTER, MN 55904-5168
(507) 319-7168
(507) 206-6154
Mailing address
1619 EASTWOOD ROAD SE, ROCHESTER, MN 55904
(507) 319-7168
(507) 206-6154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
M817281100
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M817281100
—
MN
Enumeration date
08/31/2010
Last updated
08/31/2010
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