Organization
DIVERSITY UNION GROUP HOME LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGAL ALI (CEO)
(952) 201-5354
Entity
Organization
Contact information
Practice address
2810 JAMES AVE N, MINNEAPOLIS, MN 55411-1239
(952) 201-5354
Mailing address
5033 6TH ST NE, COLUMBIA HEIGHTS, MN 55421-1629
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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