Organization
PRUDENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIN FARAH MOHAMED (OWNER)
(612) 889-1987
Entity
Organization
Contact information
Practice address
3603 CENTERVILLE RD, VADNAIS HEIGHTS, MN 55127-7122
(612) 889-1987
Mailing address
3603 CENTERVILLE RD, VADNAIS HEIGHTS, MN 55127-7122
(612) 889-1987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
33866
MN
251J00000X
Nursing Care Agency
33866
MN
253Z00000X
In Home Supportive Care Agency
33866
MN
310400000X
Assisted Living Facility
—
—
332U00000X
Home Delivered Meals
33866
MN
Other
Enumeration date
05/22/2018
Last updated
11/15/2018
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