Individual provider · NPI-1

Guled M Mohamud

Home Health · Eden Prairie, MN

NPI number1376117846
StatusActive
Last updated in NPPESJul 27, 2023

Details

NPI
1376117846
Entity type
Individual (NPI-1)
Name
Guled M Mohamud
Sex
Male
Sole proprietor
Yes
Enumeration date
May 18, 2021
Certification date
Jul 27, 2023
Last updated
Jul 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251S00000X Community/Behavioral Health––
253Z00000X In Home Supportive Care––

Practice location

6434 City West Pkwy Apt 6203
Eden Prairie, MN 55344-3293

Phone 952-393-2999

Mailing address

7744 Elm Grove Ct
New Hope, MN 55428-3873

Phone 952-393-2999

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