Organization
ABA COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHMAN MOHAMUD MOHAMED (OWNER)
(320) 420-3168
Entity
Organization
Contact information
Practice address
22 WILSON AVE NE STE 101, SAINT CLOUD, MN 56304-0406
(320) 420-3168
(320) 968-1251
Mailing address
22 WILSON AVE NE STE 101, SAINT CLOUD, MN 56304-0406
(320) 420-3168
(320) 968-1251
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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