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Organization

AVIDA HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARYAN ISSACK OSMAN RN (OWNER)
(701) 200-4150
Entity
Organization

Contact information

Practice address
8594 EXCELSIOR BLVD APT 332, HOPKINS, MN 55343-3461
(701) 200-4150
(763) 260-9928
Mailing address
8594 EXCELSIOR BLVD APT 332, HOPKINS, MN 55343-3461
(701) 200-4150
(763) 260-9928

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/11/2025
Last updated
12/11/2025
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