Organization
FIRST SERVICES FOR SENIORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABSHIR ALI MOHAMED (DIRECTOR)
(612) 709-1440
Entity
Organization
Contact information
Practice address
2413 CHICAGO AVE S, MINNEAPOLIS, MN 55407
(612) 709-1440
Mailing address
1201 E LAKE ST, MINNEAPOLIS, MN 55407
(612) 709-1440
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25
BOTH PCA CHOICE AND PCPO
MN
Enumeration date
07/29/2008
Last updated
07/29/2008
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