Organization
MILL CITY HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHID FARAH HIRSI (OWNER/MANAGER)
(612) 281-2732
Entity
Organization
Contact information
Practice address
384 66TH AVE NE, FRIDLEY, MN 55432-4401
(612) 281-2732
Mailing address
384 66TH AVE NE, FRIDLEY, MN 55432-4401
(612) 281-2732
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/15/2019
Last updated
09/11/2020
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