MEDICARE: ALLAYANS 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548565658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLAYANS HEALTH LLC

Provider Business Mailing Address
First Line	:	3218 98TH AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-1868
Country	:	US
Telephone Number	:	763-516-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	3218 98TH AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-1868
Country	:	US
Telephone Number	:	763-516-1222
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NELLY MOGENI
Credential	:
Telephone Number	:	763-516-1222

Provider Enumeration Date	:	01/20/2011
Last Update Date	:	01/20/2011

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Directions to “ALLAYANS HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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