Organization Name: | SIIDOW HOME CARE LLC |
NPI Number: | 1184033094 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NALAYE MOHAMOUD ISMAIL (MANAGER) |
Mailing Address: | 810 4th Ave S Suite 100 Moorhead |
State: | MN US |
Postal Code: | 56560 |
Phone Number: | 3202246140 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2014 |
NPI Last Update Date: | 08/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | ISM905072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |