Organization
PILLAR PCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMUD ABDISALAN ISSE (OWNER/DIRECTOR)
(612) 394-9475
Entity
Organization
Contact information
Practice address
1701 COMO AVE SE, MINNEAPOLIS, MN 55414-2426
(612) 394-9475
Mailing address
1701 COMO AVE SE, MINNEAPOLIS, MN 55414-2426
(612) 394-9475
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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