# CEDAR HEALING SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Healing Service LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720891203
- **Authorized official:** DERARTU AHMED (OWNER)
- **Authorized official phone:** (612) 600-7985

## Contact information

- **Practice address:** 121 83RD AVE NE APT 208, FRIDLEY, MN 55432-1883
- **Practice address phone:** (612) 600-7985
- **Mailing address:** 121 83RD AVE NE APT 208, FRIDLEY, MN 55432-1883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 01/29/2025