Organization
BULTUM HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOZIYA MOHAMED (OWNER)
(612) 598-7447
Entity
Organization
Contact information
Practice address
15478 EMBLEM WAY, APPLE VALLEY, MN 55124-6147
(612) 598-7447
Mailing address
15478 EMBLEM WAY, APPLE VALLEY, MN 55124-6147
(612) 598-7447
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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