Individual
BURHAN ADAM DAYNAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASSISTED LIVING
Contact information
Practice address
1609 EDGEWOOD AVE S, ST LOUIS PARK, MN 55426-2101
(952) 564-0682
Mailing address
1609 EDGEWOOD AVE S, ST LOUIS PARK, MN 55426-2101
(952) 564-0682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
01/15/2020
Last updated
03/19/2020
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