Organization
MOTASSIM MOHAMED SORKATY
Active
Other names
Motassim Sorkaty
Organization subpart
No
Provider details
NPI number
Authorized official
MOTASSIM MOHAMED SORKATY (OPERATOR/OWNER)
(612) 275-5909
Entity
Organization
Contact information
Practice address
3847 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-3930
(612) 275-5909
Mailing address
3847 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-3930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
368296
MN
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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