Organization
CONVENIENCE HOME HEALTH-AIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUSSEIN MUHUMED GUDAL (MANAGER)
(605) 251-5174
Entity
Organization
Contact information
Practice address
809 N WEST AVE APT 305, SIOUX FALLS, SD 57104-5740
(605) 251-5174
Mailing address
809 N WEST AVE APT 305, SIOUX FALLS, SD 57104-5740
(605) 251-5174
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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