Individual
KAHIYE AMIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 23RD ST S, FARGO, ND 58103-1300
(619) 405-8308
Mailing address
801 44TH AVE S APT 113, MOORHEAD, MN 56560-6899
(619) 405-8308
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
ND
253Z00000X
In Home Supportive Care Agency
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472804258
—
ND
Enumeration date
12/09/2014
Last updated
11/19/2020
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