Organization · NPI-2

Mam Pca INC

In Home Supportive Care · Eden Prairie, MN

NPI number1770304552
StatusActive
Last updated in NPPESOct 23, 2024

Details

NPI
1770304552
Entity type
Organization (NPI-2)
Legal business name
Mam Pca INC
Organization subpart
No
Enumeration date
Oct 23, 2024
Certification date
Oct 23, 2024
Last updated
Oct 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Mam Pca INC (Doing Business As)

Practice location

7471 Mitchell Rd
Eden Prairie, MN 55344-1980

Phone 612-532-6183

Mailing address

7471 Mitchell Rd
Eden Prairie, MN 55344-1980

Phone 612-532-6183

Authorized official

Muhumed A Omar
President
6125326183

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