Organization
CHOICE CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMO ABDUKADIR SHEIKHYUSSUF (OWNER/MANAGER)
(612) 644-0473
Entity
Organization
Contact information
Practice address
446 SHERBURNE AVE UNIT A, SAINT PAUL, MN 55103-5510
(612) 644-0473
Mailing address
446 SHERBURNE AVE UNIT A, SAINT PAUL, MN 55103-1943
(612) 644-0473
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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