Organization
HOMELIFE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON ALI (PRESIDENT)
(763) 533-1869
Entity
Organization
Contact information
Practice address
7240 BROOKLYN BLVD STE 205, BROOKLYN PARK, MN 55429-1279
(763) 533-1869
(763) 560-1007
Mailing address
7240 BROOKLYN BLVD STE 205, BROOKLYN PARK, MN 55429-1279
(763) 533-1869
(763) 560-1007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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