Organization
MANZMED START CORPORATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMO A SALIM (OWNER)
(612) 701-4896
Entity
Organization
Contact information
Practice address
10417 ZENITH AVE S, BLOOMINGTON, MN 55431-3550
(612) 701-4896
Mailing address
10417 ZENITH AVE S, BLOOMINGTON, MN 55431-3550
(612) 701-4896
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/17/2019
Last updated
02/22/2020
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