Individual provider · NPI-1
Hodan Hassan Jimale
Home Health Aide · Eden Prairie, MN
NPI number1689361628
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1689361628
- Entity type
- Individual (NPI-1)
- Name
- Hodan Hassan Jimale
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2023
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 376J00000X | Homemaker | – | – |
Practice location
7021 Woodland Dr Apt 201Eden Prairie, MN 55346-2722
Phone 952-693-7602
Mailing address
7021 Woodland Dr Apt 201Eden Prairie, MN 55346-2722
Phone 952-693-7602
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