| NPI | 1396402749 | 
|---|---|
| Doing Business As | HOME HEALTH CARE AGENCY | 
| Entity Type | Organization | 
| Authorized Contact | KHADAR MOHAMED SULEIMAN Manager 612-636-2655  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Enumeration Date | 2021-11-19 | 
| Last Update Date | 2021-11-19 |