MEDICARE: PERFECTION HEALTH CARE SERVICES, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1881251809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECTION HEALTH CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	207 BATES AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55106-5501
Country	:	US
Telephone Number	:	651-347-8037
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 COOK AVE E
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55106-3442
Country	:	US
Telephone Number	:	651-347-8037
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING DIRECTOR
Name	:	ABDULKADIR M. M. OSMAN
Credential	:	MBA
Telephone Number	:	651-347-8037

Provider Enumeration Date	:	05/24/2019
Last Update Date	:	05/24/2019

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