Individual ProviderXamse Ali FarahCounselorBehavioral Health & Social Service ProvidersPractice Address1701 American Blvd E Ste 19, Bloomington, MN 55425-1401(763) 999-5938PECOS EnrollmentBased on the most recent information from CMS, provider Xamse Ali Farah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790400588Provider TypeIndividualFull NameFarah, Xamse AliGenderMaleSole ProprietorNoEnumeration Date10/5/2022Last Updated10/5/2022Contact InformationPractice LocationPractice Address1701 American Blvd E Ste 19, Bloomington, MN 55425-1401Phone(763) 999-5938Fax(612) 326-6160Mailing LocationMailing Address1701 American Blvd E Ste 19, Bloomington, MN 55425-1401Phone(763) 999-5938Fax(612) 326-6160Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer