Organization
SUMMERROSE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMO MOHAMED MAHAMED (OWNER)
(619) 830-1146
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 464-4, SAINT PAUL, MN 55104-2801
(619) 830-1146
Mailing address
1821 UNIVERSITY AVE W STE 464-4, SAINT PAUL, MN 55104-2801
(619) 830-1146
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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