Organization
DIRECTLINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EKRAM HASSAN ALYAFEI (AUTHORIZED AGENT)
(612) 295-1435
Entity
Organization
Contact information
Practice address
2977 LEXINGTON AVE S APT 306, EAGAN, MN 55121-1476
(612) 440-9690
Mailing address
2977 LEXINGTON AVE S APT 306, EAGAN, MN 55121-1476
(612) 440-9690
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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