Organization
10,000 LAKES HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED WARSAME (PRESIDENT)
(612) 703-4508
Entity
Organization
Contact information
Practice address
127 W LAKE ST, 202, MINNEAPOLIS, MN 55408-3141
(612) 703-4508
Mailing address
127 WEST LAKE ST., SUITE 202, MINNEAPOLIS, MN 55408
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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