Organization
MN HOMECARE BY YUSRA ANGEL HAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHIM BUSURI (OWNER/EXCUTIVE DIRECTOR)
(612) 226-8630
Entity
Organization
Contact information
Practice address
4218 GIRARD AVE N, MINNEAPOLIS, MN 55412-1606
(612) 226-8630
Mailing address
4218 GIRARD AVE N, MINNEAPOLIS, MN 55412-1606
(612) 226-8630
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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