Organization
BEACON COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHYEDIN RASHID DJIRDI (EXECUTIVE DIRECTOR)
(612) 412-4894
Entity
Organization
Contact information
Practice address
10800 LYNDALE AVE S STE 165, BLOOMINGTON, MN 55420-5698
(612) 439-3634
(612) 439-3674
Mailing address
10800 LYNDALE AVE S STE 355, BLOOMINGTON, MN 55420-5644
(612) 439-3634
(612) 439-3674
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
02/23/2023
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