Organization
AT HOME ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED HERSI (OWNER)
(614) 822-5951
Entity
Organization
Contact information
Practice address
1335 52ND AVE NE, FRIDLEY, MN 55421-1820
(614) 822-5961
Mailing address
1335 52ND AVE NE, FRIDLEY, MN 55421-1820
(614) 822-5961
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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