Organization
LAKESIDE HEALTH HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN HAMZA (OWNER)
(612) 840-9273
Entity
Organization
Contact information
Practice address
229 IRVING AVE N UNIT 103, MINNEAPOLIS, MN 55405-5502
(612) 840-9273
Mailing address
PO BOX 1022, BURNSVILLE, MN 55337-0022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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