Provider Demographics
NPI:1851740674
Name:OROMIA HEALTH CARE LLC
Entity Type:Organization
Organization Name:OROMIA HEALTH CARE LLC
Other - Org Name:OROMIA HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-345-2101
Mailing Address - Street 1:1620 81ST AVE NE APT 3
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55432-1343
Mailing Address - Country:US
Mailing Address - Phone:612-345-2101
Mailing Address - Fax:
Practice Address - Street 1:1620 81ST AVE NE APT 3
Practice Address - Street 2:
Practice Address - City:SPRING LAKE PARK
Practice Address - State:MN
Practice Address - Zip Code:55432-1343
Practice Address - Country:US
Practice Address - Phone:612-345-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN377182251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care