Organization
PRO-HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULWAHAB ASAMARAI M.D., PH.D. (PRESIDENT/CEO)
(763) 746-8155
Entity
Organization
Contact information
Practice address
4710 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1944
(763) 746-8155
(763) 746-8154
Mailing address
4710 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1944
(763) 746-8155
(763) 746-8154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
335929
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355493000
—
MN
05
—
825168000
—
MN
Enumeration date
12/31/2007
Last updated
05/31/2016
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