Organization
CONNECT.HOME.HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIWALI M ALI (GENERAL MANNAGER)
(612) 707-2272
Entity
Organization
Contact information
Practice address
400 1ST ST S STE 640, SAINT CLOUD, MN 56301-3641
(612) 707-2272
Mailing address
400 1ST ST S STE 640, SAINT CLOUD, MN 56301-3641
(612) 707-2272
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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