| Lakeside Home Health | |
|
4124 Quebec Ave N Ste 202 New Hope MN 55427-1240 | |
| (651) 363-2020 | |
| Not Available |
| Full Name | Lakeside Home Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4124 Quebec Ave N Ste 202, New Hope, Minnesota |
| Authorized Official Name and Position | Ahmed Abdulkadir (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6513632020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Home Health 4124 Quebec Ave N Ste 202 New Hope MN 55427-1240 Ph: () - | Lakeside Home Health 4124 Quebec Ave N Ste 202 New Hope MN 55427-1240 Ph: (651) 363-2020 |
| NPI Number | 1417721275 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417721275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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