Provider Demographics
NPI:1801059431
Name:IDIL SAID NUR
Entity type:Organization
Organization Name:IDIL SAID NUR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IDIL
Authorized Official - Middle Name:SAID
Authorized Official - Last Name:NUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-226-9485
Mailing Address - Street 1:1821 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE S-305
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2801
Mailing Address - Country:US
Mailing Address - Phone:612-226-9485
Mailing Address - Fax:651-222-3585
Practice Address - Street 1:1821 UNIVERSITY AVE W
Practice Address - Street 2:SUITE S-305
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2801
Practice Address - Country:US
Practice Address - Phone:612-226-9485
Practice Address - Fax:651-222-3585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1757365251J00000X
MN25979251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care