Organization
CAREXTRA HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDIL ABDIRAHMAN MOHAMED (OWNER)
(612) 987-3927
Entity
Organization
Contact information
Practice address
544 ARTHUR ST, HOPKINS, MN 55343-8414
(612) 987-3927
Mailing address
544 ARTHUR ST, HOPKINS, MN 55343-8414
(952) 681-7196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
10/10/2022
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