Organization
FACE 2 FACE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUBIN MOHAMMED HUSSEIN (MANGER/CEO)
(952) 583-9793
Entity
Organization
Contact information
Practice address
5747 W BROADWAY AVE STE 102, CRYSTAL, MN 55428-3549
(952) 583-9793
Mailing address
5747 W BROADWAY AVE STE 102, CRYSTAL, MN 55428-3549
(952) 583-9793
(763) 592-8295
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A058192100
—
MN
Enumeration date
10/27/2015
Last updated
07/21/2022
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