Organization
ADVANCED HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED BIDARE (OWNER)
(612) 296-3708
Entity
Organization
Contact information
Practice address
3000 LOGAN AVE N, MINNEAPOLIS, MN 55411
(612) 296-3708
Mailing address
3000 LOGAN AVE N, MINNEAPOLIS, MN 55411-1256
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100301328
MN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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