Organization
UNIVERSAL HOME HEALTH CARE AGENCY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSTAFA MUSSA (PRESIDENT/CEO)
(612) 822-2937
Entity
Organization
Contact information
Practice address
1801 NICOLLET AVE, SUITE 105, MINNEAPOLIS, MN 55403-3793
(612) 822-2937
(612) 822-2998
Mailing address
1801 NICOLLET AVE, SUITE 105, MINNEAPOLIS, MN 55403-3793
(612) 822-2937
(612) 822-2998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
332960
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136918
UCARE
MN
01
—
182433
UCARE
MN
01
—
3J45UN
BLUE CROSS
MN
01
—
59-50014
MEDICA
MN
Enumeration date
08/08/2006
Last updated
02/01/2008
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