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Organization

PREFERRED CHOICE HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AHMED ABDIRAHMAN MUHUMUD (MANAGER)
(612) 598-9491
Entity
Organization

Contact information

Practice address
15341 FLOWER WAY, APPLE VALLEY, MN 55124-3133
(612) 598-9491
(612) 746-5221
Mailing address
15341 FLOWER WAY, APPLE VALLEY, MN 55124-3133
(612) 598-9491
(612) 746-5221

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
346000
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
346000
CLASS A PROFESSIONAL HOME CARE AGENCY
MN
05
M722947100
MN
Enumeration date
10/13/2009
Last updated
10/13/2009
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