Organization
MINNESOTA PCA HOME HEALTHY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMA M HUSSEIN (OWNER, PRESIDENT)
(612) 821-2364
Entity
Organization
Contact information
Practice address
310 E 38TH ST STE 126, MINNEAPOLIS, MN 55409-1387
(612) 821-2364
Mailing address
310 E 38TH ST STE 126, MINNEAPOLIS, MN 55409-1387
(612) 821-2364
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A632198200
MN
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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