NPI 1174847487

Pro-Health Home Care Agency, LLC

Organisation Home Health Agency Columbia Heights, MN

Practice location

Address: 4710 Central Ave NE, Columbia Heights, MN 55421-1944
Phone: (763) 746-8155
Fax: (763) 746-8154

Authorised official

Name: Abdulwahab M Asamarai
Title: President/Ceo
Phone: (763) 746-8155

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 343901 (MN)

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Registry record

NPI: 1174847487
Entity type: Organization
NPI issued: 16 Mar 2010
Record last updated: 31 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.