Organization
IMMEDIATE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED BASHIR (PRESIDENT)
(612) 868-2265
Entity
Organization
Contact information
Practice address
2817 ANTHONY LN S STE 210, ST ANTHONY, MN 55418-2488
(612) 259-7362
(612) 259-7990
Mailing address
2817 ANTHONY LN S STE 210, ST ANTHONY, MN 55418-2488
(612) 259-7362
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A724198200
—
MN
Enumeration date
11/03/2020
Last updated
11/03/2020
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