Organization
AG HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAB ADAN GULAID MPA (ADMINISTRATOR)
(651) 370-8055
Entity
Organization
Contact information
Practice address
20765 HOLYOKE AVE, LAKEVILLE, MN 55044-9825
(651) 615-4148
Mailing address
15831 GRIFFON PATH, APPLE VALLEY, MN 55124-6661
(651) 370-8055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
08/10/2025
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