Organization
SILVER MOUNTAIN HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMATAR DUALEH (OWNER)
(612) 226-5375
Entity
Organization
Contact information
Practice address
1603 CHICAGO AVE, MINNEAPOLIS, MN 55404-1605
(612) 226-5375
Mailing address
1603 CHICAGO AVE, MINNEAPOLIS, MN 55404-1605
(612) 226-5375
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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