NPI 1184033094

Siidow Home Care LLC

Organisation Health Maintenance Organization Moorhead, MN

Practice location

Address: 810 4th Ave S Suite 100, Moorhead, MN 56560
Phone: (320) 224-6140
Mailing address: 810 4th Ave S STE 100, Moorhead, MN 56560-2800

Authorised official

Name: Nalaye Mohamoud Ismail
Title: Manager
Phone: (320) 224-6140

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence ISM905072 (ND)

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Registry record

NPI: 1184033094
Entity type: Organization
NPI issued: 5 Aug 2014
Record last updated: 5 Aug 2014

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.