Organization
PRO HEALTH HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUSTAPHA ABDULAHI OMAR PHD (EXECUTIVE DIRECTOR)
(763) 447-9971
Entity
Organization
Contact information
Practice address
8717 PRESTWICK PKWY N, BROOKLYN PARK, MN 55443-3909
(763) 447-9971
Mailing address
8717 PRESTWICK PKWY N, BROOKLYN PARK, MN 55443-3909
(763) 447-9971
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2963896
MN
347C00000X
Private Vehicle
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—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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