Organization
LAVISH HEALTH SERVICES , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOSA AHMED HASSNA (DIRECTOR)
(952) 297-2348
Entity
Organization
Contact information
Practice address
7204 W 27TH ST STE 213, ST LOUIS PARK, MN 55426-3113
(952) 297-2348
Mailing address
7204 W 27TH ST STE 213, ST LOUIS PARK, MN 55426-3113
(952) 297-2348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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