Organization
CRESCENT HOME HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIRISAK S MAHAMUD (CEO AND MANAGER)
(612) 354-3084
Entity
Organization
Contact information
Practice address
617 W BROADWAY AVE STE 202, MINNEAPOLIS, MN 55411-2712
(612) 354-3084
(952) 516-5142
Mailing address
617 W BROADWAY AVE STE 202, MINNEAPOLIS, MN 55411-2712
(612) 354-3084
(952) 516-5142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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