Organization · NPI-2

Convenience Home Health Care Aide INC

Home Health · Moorhead, MN

NPI number1972994069
StatusActive
Last updated in NPPESFeb 10, 2015

Details

NPI
1972994069
Entity type
Organization (NPI-2)
Legal business name
Convenience Home Health Care Aide INC
Organization subpart
No
Enumeration date
Feb 10, 2015
Last updated
Feb 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

810 4th Ave S
Suite100
Moorhead, MN 56560-2800

Phone 612-636-3593

Mailing address

810 4th Ave S
Suite100
Moorhead, MN 56560-2800

Authorized official

Omar Mohamed
President
6126363593

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