Provider Demographics
NPI:1780844928
Name:BARWAAQO HOME CARE
Entity Type:Organization
Organization Name:BARWAAQO HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:FOWZIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-388-0331
Mailing Address - Street 1:4106 SCOTT AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-1754
Mailing Address - Country:US
Mailing Address - Phone:612-388-0331
Mailing Address - Fax:763-535-0202
Practice Address - Street 1:4106 SCOTT AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-1754
Practice Address - Country:US
Practice Address - Phone:612-388-0331
Practice Address - Fax:763-535-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization