Provider Demographics
NPI:1891516530
Name:SHEIKHIBRAHIM, SAFA ABDIRASHID (OWNER/MANAGER)
Entity type:Individual
Prefix:
First Name:SAFA
Middle Name:ABDIRASHID
Last Name:SHEIKHIBRAHIM
Suffix:
Gender:F
Credentials:OWNER/MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 19TH ST NW STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6792
Mailing Address - Country:US
Mailing Address - Phone:507-271-8710
Mailing Address - Fax:
Practice Address - Street 1:3245 19TH ST NW STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6792
Practice Address - Country:US
Practice Address - Phone:507-271-8710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health