MEDICARE: PRECISION HEALTH CARE, 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	A247117000	MN

General Provider Information

NPI Number	:	1780032144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	3355 HIAWATHA AVE
Second Line	:	SUITE # 110
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2441
Country	:	US
Telephone Number	:	612-259-8252
Fax Number	:

Provider Business Practice Location Address
First Line	:	3355 HIAWATHA AVE
Second Line	:	SUITE# 110
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2443
Country	:	US
Telephone Number	:	612-259-8252
Fax Number	:	612-259-8674

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SADIO ISMAIL
Credential	:
Telephone Number	:	612-259-8252

Provider Enumeration Date	:	05/26/2016
Last Update Date	:	05/26/2016

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