Organization
SILVER LAKE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED KASSIM IBRAHIM I (OWNER)
(612) 701-7232
Entity
Organization
Contact information
Practice address
904 2ND AVE NW, ROCHESTER, MN 55901-6830
(612) 701-7232
Mailing address
904 2ND AVE NW, ROCHESTER, MN 55901-6830
(612) 701-7232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
11/24/2021
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