# ADENCARE LLC

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

## Provider details

- **NPI number:** 1942749510
- **Authorized official:** ABDULLAHI ADEN (EMPLOYER)
- **Authorized official phone:** (612) 735-1872

## Contact information

- **Practice address:** 3701 RESERVOIR BLVD, COLUMBIA HEIGHTS, MN 55421-4022
- **Practice address phone:** (612) 735-1872
- **Mailing address:** 3701 RESERVOIR BLVD, COLUMBIA HEIGHTS, MN 55421-4022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 1083445-1-HCBS | MN | Yes |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 02/15/2017