Organization
EAGLE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJA ABDIKARIM (PRESIDENT)
(612) 644-6127
Entity
Organization
Contact information
Practice address
2104 PARK AVE, MINNEAPOLIS, MN 55404-6607
(612) 644-6127
Mailing address
2104 PARK AVE, MINNEAPOLIS, MN 55404-6607
(612) 644-6127
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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