Organization
PRO HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIRASHID HUSSEIN BOMBOLO (OWNER)
(763) 291-7444
Entity
Organization
Contact information
Practice address
2910 PILLSBURY AVE S STE 129, MINNEAPOLIS, MN 55408-2284
(763) 291-7444
Mailing address
355 ORENDORFF WAY NE, COLUMBIA HEIGHTS, MN 55421-5050
(763) 291-7444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1870481
MN
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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