MEDICARE: ABDIRIZAK HASSAN

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	1682576	OH

General Provider Information

NPI Number	:	1497912976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDIRIZAK HASSAN

Provider Business Mailing Address
First Line	:	3310 MORSE RD
Second Line	:	STE: 107
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6191
Country	:	US
Telephone Number	:	614-218-9993
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 MORSE RD
Second Line	:	STE 107
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6191
Country	:	US
Telephone Number	:	614-218-9993
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	05/21/2008

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Directions to “ ABDIRIZAK HASSAN ” Practice Location

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