Organization
SUNRISE HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUAHMAN W JAMA (PRESIDENT)
(952) 288-1135
Entity
Organization
Contact information
Practice address
1011 W BROADWAY AVE STE 218, MINNEAPOLIS, MN 55411-2565
(612) 236-4179
(612) 260-2282
Mailing address
1011 W BROADWAY AVE STE 218, MINNEAPOLIS, MN 55411-2565
(612) 236-4179
(612) 260-2282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740640846
—
MN
05
—
4157452
—
MN
Enumeration date
03/02/2016
Last updated
09/06/2023
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