Organization
AALIYASHA LOVING HOME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT GOETHE TARPEH (OWNER)
(612) 387-6629
Entity
Organization
Contact information
Practice address
5509 YATES AVE N, CRYSTAL, MN 55429-3130
(612) 387-6629
(763) 276-1206
Mailing address
19485 BOSTON ST NW, ELK RIVER, MN 55330-4121
(612) 387-6629
(763) 276-1206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
02/19/2025
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