-- SALAD M ISMAIL --
Individual Provider (NPI-1)
Active
Home Health
Provider Information
- NPI Number
1316374911- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 810 4TH AVE S STE 204, MOORHEAD, MN, 565602800
- Phone
- (612) 876-0814
Specialties & Taxonomies
Home Health
Primary License: MN #S649195558919
All Addresses
MAILING
810 4TH AVE S STE 204
MOORHEAD, MN, 565602800