Organization
ADVANCED HOME HEALTH CARE LLC
Active
Other names
Advanced Home Health Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH DIRIE (OWNER)
(763) 438-6764
Entity
Organization
Contact information
Practice address
4201 MAIN ST NE, COLUMBIA HEIGHTS, MN 55421-2767
(763) 438-6764
(612) 486-8841
Mailing address
4201 MAIN ST NE, COLUMBIA HEIGHTS, MN 55421-2767
(763) 438-6764
(612) 486-8841
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389245
COMPREHENSIVE HOME CARELLC
MN
Enumeration date
02/01/2019
Last updated
02/01/2019
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