Organization
ANOKA PROFESSIONAL HH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMAL YUSUF (CEO)
(763) 754-4885
Entity
Organization
Contact information
Practice address
4211 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421
(763) 754-4885
(763) 754-1023
Mailing address
4211 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2921
(763) 754-4885
(763) 754-1023
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
835147300038
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A642915100
UMPI
MN
01
—
M243628700
UMPI
MN
Enumeration date
04/18/2013
Last updated
07/09/2018
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