# COMPLEX CARES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922576081
- **Authorized official:** SHANDA RAE DORFF MD (CEO)
- **Authorized official phone:** (651) 756-9595

## Contact information

- **Practice address:** 4700 LEXINGTON AVE N STE C, SHOREVIEW, MN 55126-5964
- **Practice address phone:** (651) 756-9595
- **Practice address fax:** (651) 340-8529
- **Mailing address:** PO BOX 270653, VADNAIS HEIGHTS, MN 55127-0653
- **Mailing address phone:** (651) 756-9595
- **Mailing address fax:** (651) 340-8529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 12/26/2020