Organization
MGM HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IDIRIS DIRA MOHAMUD OWNER (GM)
(612) 338-3636
Entity
Organization
Contact information
Practice address
325 CEDAR AVE S, SUITE #5, MINNEAPOLIS, MN 55454-1030
(612) 338-3636
(612) 338-3939
Mailing address
325 CEDAR AVE S, SUITE #5, MINNEAPOLIS, MN 55454-1030
(612) 338-3636
(612) 338-3939
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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