Provider Demographics
NPI:1629870217
Name:TRAVEL HEALTH 365 LLC
Entity type:Organization
Organization Name:TRAVEL HEALTH 365 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARTUN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-268-6873
Mailing Address - Street 1:1695 COUNTY ROAD D E APT 236
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-5329
Mailing Address - Country:US
Mailing Address - Phone:763-286-6873
Mailing Address - Fax:
Practice Address - Street 1:1695 COUNTY ROAD D E APT 236
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-5329
Practice Address - Country:US
Practice Address - Phone:763-286-6873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility