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General NPI Number Information
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NPI Number | 1750920203
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Entity Type | Organization
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Legal Business Name | UNITED HOMES SERVICES LLC
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 14570 JOPPA AVE S
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City | SAVAGE
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State | MN
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Zip | 55378-3013
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Country | US
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Telephone | 763-273-1168
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Fax | 612-314-8716
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Provider Business Mailing Address
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Address Line | 20711 HOLT AVE UNIT 654
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City | LAKEVILLE
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State | MN
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Zip | 55044-9854
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Country | US
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Telephone | 612-562-0561
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MOHAMED ABDULLE FARAH
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Credential |
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Telephone | 612-562-0561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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