Organization
IZZY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRISAK MOHAMED (OWNER)
(914) 218-0757
Entity
Organization
Contact information
Practice address
1518 E LAKE ST STE 201C, MINNEAPOLIS, MN 55407-1849
(914) 218-0757
Mailing address
14285 HIBISCUS CT, APPLE VALLEY, MN 55124-3701
(914) 218-0757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
06/26/2025
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