Organization
MIDWAY HOMES ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASAD MIRE (MANAGER)
(952) 393-0995
Entity
Organization
Contact information
Practice address
2380 WYCLIFF ST STE 200-12, SAINT PAUL, MN 55114-1279
(952) 393-0995
Mailing address
2380 WYCLIFF ST STE 200-12, SAINT PAUL, MN 55114-1279
(952) 393-0995
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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