Organization
LUCKY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAB OMAR ADEN 08/22/2016 (OWNER)
(952) 594-0532
Entity
Organization
Contact information
Practice address
2121 NICOLLET AVE STE 203, MINNEAPOLIS, MN 55404-2575
(952) 594-0532
(651) 683-2757
Mailing address
2121 NICOLLET AVE STE 203, MINNEAPOLIS, MN 55404-2575
(952) 594-0532
(651) 683-2757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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