Provider Demographics
NPI:1053762617
Name:ASLY CARE INC,
Entity type:Organization
Organization Name:ASLY CARE INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUHIDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-331-4510
Mailing Address - Street 1:2920 TALMAGE AVE SE # 255
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-2780
Mailing Address - Country:US
Mailing Address - Phone:612-331-4510
Mailing Address - Fax:844-272-2240
Practice Address - Street 1:2920 TALMAGE AVE SE # 255
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-2780
Practice Address - Country:US
Practice Address - Phone:612-331-4510
Practice Address - Fax:844-272-2240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN377049251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health