Provider Demographics
NPI:1396394847
Name:A&H SKILLED NURSING HEALTHCARE LLC
Entity Type:Organization
Organization Name:A&H SKILLED NURSING HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMAAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDI MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-318-7183
Mailing Address - Street 1:11420 42ND PL N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-1904
Mailing Address - Country:US
Mailing Address - Phone:612-444-0864
Mailing Address - Fax:
Practice Address - Street 1:11420 42ND PL N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-1904
Practice Address - Country:US
Practice Address - Phone:612-444-0864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-07
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty