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Individual

HAMDI ALI MOHAMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1527 MORGAN AVE N, MINNEAPOLIS, MN 55411-3013
(612) 963-2576
(612) 238-8055
Mailing address
1527 MORGAN AVE N, MINNEAPOLIS, MN 55411-3013
(612) 963-2576

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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