Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL ELMI JAMA (OWNER)
(612) 501-2544
Entity
Organization
Contact information
Practice address
1069 GRANDVIEW WAY APT 225, COLUMBIA HEIGHTS, MN 55421-3377
(612) 501-2544
Mailing address
1069 GRANDVIEW WAY APT 225, COLUMBIA HEIGHTS, MN 55421-3377
(612) 501-2544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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