Organization
SPECTRUM CARE SERVICES
Active
Other names
Spectrum Care
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSA MOHAMED INTERNAL MEDICINE PA (ADMINISTRATOR)
(612) 741-5399
Entity
Organization
Contact information
Practice address
15644 FAIRFIELD DR, APPLE VALLEY, MN 55124-5352
(612) 741-5399
Mailing address
PO BOX 46151, PLYMOUTH, MN 55446-0151
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/15/2022
Last updated
10/06/2022
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