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NPI Code Detail

MEDICARE: ALI HOME HEALTH LLC

MEDICARE: ALI HOME HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1265217301
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALI HOME HEALTH LLC
Provider Business Mailing Address
First Line : 3845 HIAWATHA AVE
Second Line : APT 509
City : MINNEAPOLIS
State : MN
Zip : 55406-4454
Country : US
Telephone Number : 612-232-9089
Fax Number :
Provider Business Practice Location Address
First Line : 3845 HIAWATHA AVE
Second Line : APT 509
City : MINNEAPOLIS
State : MN
Zip : 55406-4454
Country : US
Telephone Number : 612-232-9089
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : MOHAMED ABUKAR ALI
Credential :
Telephone Number : 612-232-9089
Provider Enumeration Date : 08/28/2023
Last Update Date : 01/16/2024

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