MEDICARE: M & I HIGH QUALITY CARE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417193046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & I HIGH QUALITY CARE LLC.

Provider Business Mailing Address
First Line	:	2931 E LAKE ST STE 202
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2049
Country	:	US
Telephone Number	:	612-722-3727
Fax Number	:	612-722-3727

Provider Business Practice Location Address
First Line	:	2931 E LAKE ST STE 202
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2049
Country	:	US
Telephone Number	:	612-722-3727
Fax Number	:	612-722-3727

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YUSUF BASHIR ALI
Credential	:
Telephone Number	:	763-458-6073

Provider Enumeration Date	:	01/03/2009
Last Update Date	:	01/03/2009

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