Organization
SOUTHSIDE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FARDOSA AHMED (OWNER)
(507) 319-7224
Entity
Organization
Contact information
Practice address
3270 19TH ST NW STE 108, ROCHESTER, MN 55901-2950
(507) 319-7224
Mailing address
3270 19TH ST NW STE 108, ROCHESTER, MN 55901-2950
(507) 319-7224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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