Organization
REDHAWK RESIDENTIAL
Active
Other names
Redhawk Residential
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFITAH NOR JAMA BUSINESS MAN (OWNER)
(507) 990-3783
Entity
Organization
Contact information
Practice address
3565 8 1/2 ST NW, ROCHESTER, MN 55901-6646
(507) 990-3783
Mailing address
3565 8 1/2 ST NW, ROCHESTER, MN 55901-6646
(507) 990-3783
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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