Organization
NOBILITY HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDULREHMAN SHECK HASSAN (CEO)
(612) 529-4646
Entity
Organization
Contact information
Practice address
1200 W BROADWAY AVE, SUITE 130, MINNEAPOLIS, MN 55411-2572
(612) 529-4646
(612) 587-2699
Mailing address
1200 W BROADWAY AVE, SUITE 130, MINNEAPOLIS, MN 55411-2572
(612) 529-4646
(612) 587-2699
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M750025100
MA - MEDICAL ASSISTANCE (MINNESOTA DHS ISSUED)
MN
Enumeration date
03/05/2014
Last updated
03/05/2014
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