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Mr. Yassir K Ibrahim
Home Health Agency in Faribault, Minnesota
NPI 1174265342

Yassir K Ibrahim is a Home Health Agency based in Faribault, MN. Yassir K Ibrahim practices in Faribault, MN. The NPI Number for Yassir K Ibrahim is 1174265342 and holds a License No. (Minnesota).

The current practice location address for Yassir K Ibrahim is 800 Conliffe Ave Sw Apt 203, Faribault, MN and can be reached out via phone at 507-491-2300.

Location: 800 Conliffe Ave Sw Apt 203, Faribault, MN, 55021-5792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174265342
Provider Name
Yassir K Ibrahim
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 Conliffe Ave Sw Apt 203, Faribault, MN, 55021-5792
Phone Number
507-491-2300
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C0063538 01 MN HOME CARE
institution
Provider Business Practice Location Address Details
Address
800 Conliffe Ave Sw Apt 203
City
Faribault
State
Minnesota
Zip
55021-5792
Phone Number
507-491-2300
Fax Number
person
Provider Business Mailing Address Details
Address
800 Conliffe Ave Sw Apt 203
City
Faribault
State
Minnesota
Zip
55021-5792
Phone Number
507-491-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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