Provider Demographics
NPI:1881067155
Name:DARYEEL HOME HEALTH CARE L.L.C
Entity type:Organization
Organization Name:DARYEEL HOME HEALTH CARE L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUHYADIN
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:HIRSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-480-1844
Mailing Address - Street 1:428 LITCHFIELD AVE SW
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-3242
Mailing Address - Country:US
Mailing Address - Phone:320-262-3093
Mailing Address - Fax:320-262-3093
Practice Address - Street 1:428 LITCHFIELD AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3242
Practice Address - Country:US
Practice Address - Phone:320-262-3093
Practice Address - Fax:320-262-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-08
Last Update Date:2015-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN838116300026385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care