Organization
MARIYA HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASSAN ABDI ADAN (OWNER)
(612) 823-4305
Entity
Organization
Contact information
Practice address
2940 PILLSBURY AVE STE 203, MINNEAPOLIS, MN 55408-2275
(612) 823-4305
(612) 823-4263
Mailing address
2940 PILLSBURY AVE STE 203, MINNEAPOLIS, MN 55408-2275
(612) 823-4305
(612) 823-4263
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
328162
MN
251E00000X
Home Health Agency
337880
MN
251E00000X
Home Health Agency
Primary
356549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32939
—
ND
05
—
857349200
—
MN
Enumeration date
06/02/2006
Last updated
03/07/2013
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