MEDICARE: NOBLE HANDS INC

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	:	1558118638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOBLE HANDS INC

Provider Business Mailing Address
First Line	:	1560 PORTLAND AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-6867
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 PORTLAND AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-6867
Country	:	US
Telephone Number	:	952-737-2258
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NUR OMAR
Credential	:
Telephone Number	:	952-737-2258

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	05/06/2024

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Directions to “NOBLE HANDS INC ” Practice Location

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