Organization
MISSION GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AHMED HASSAN (OWNER)
(507) 210-5357
Entity
Organization
Contact information
Practice address
730 N VAN BUREN WAY, HOPKINS, MN 55343-8145
(507) 210-5357
Mailing address
730 N VAN BUREN WAY, HOPKINS, MN 55343-8145
(507) 210-5357
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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