Organization
PROSPER HOME HEALTH AND TRANSPORTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFRAH D ALI RN AND ADMINISTRATOR (RN AND ADMINISTRATOR)
(858) 877-0066
Entity
Organization
Contact information
Practice address
10025 COLFAX AVE S, BLOOMINGTON, MN 55431-3133
(612) 876-1187
Mailing address
10025 COLFAX AVE S, BLOOMINGTON, MN 55431-3133
(612) 876-1187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
05/16/2020
Last updated
12/05/2022
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