Organization
ADVANZED HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN MOHAMUD (MANAGER)
(612) 323-0315
Entity
Organization
Contact information
Practice address
3831 BAKKEN BLVD, COLUMBIA HEIGHTS, MN 55421-5056
(612) 323-0315
Mailing address
3831 BAKKEN BLVD, COLUMBIA HEIGHTS, MN 55421-5056
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
12/11/2013
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