Organization
COSMO HOME HEALTHCARE SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULKADIR MOHAMED SHIRE (CO-OWNER)
(612) 735-5598
Entity
Organization
Contact information
Practice address
2219 OAKLAND AVE S, SUITE 104, MINNEAPOLIS, MN 55404
(612) 314-2045
(612) 314-8022
Mailing address
2219 OAKLAND AVE S, SUITE 104, MINNEAPOLIS, MN 55404-3749
(612) 314-2045
(612) 314-8022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
379558
MN
Other
Enumeration date
11/21/2016
Last updated
09/23/2020
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