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Organization

DIVERSE HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADAN ISSA MOHAMED (OPERATION SUPERVISOR)
(612) 724-3194
Entity
Organization

Contact information

Practice address
3019 MINNEHAHA AVE STE 10, MINNEAPOLIS, MN 55406-3099
(612) 724-3194
(612) 729-5224
Mailing address
3019 MINNEHAHA AVE STE 10, MINNEAPOLIS, MN 55406-3099
(612) 724-3194
(612) 729-5224

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2494835-2
MN
251E00000X
Home Health Agency
MN

Other

Enumeration date
12/20/2008
Last updated
12/20/2008
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