Organization
CARE SOURCE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAHAN M QALIF (OWNER/MANAGER)
(612) 310-0448
Entity
Organization
Contact information
Practice address
920 24TH AVE NE UNIT 306, MINNEAPOLIS, MN 55418-3482
(612) 310-0448
Mailing address
920 24TH AVE NE UNIT 306, MINNEAPOLIS, MN 55418-3482
(612) 310-0448
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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