Individual
HAMDI ALI MOHAMED
Active
Individual
HAMDI ALI MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
394113
MN
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
394113
MN
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
394113
MN
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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