Organization
RESIDENTIAL CARE AT NINE MILE CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SADIK ALI ABDI (OWNER)
(612) 978-2238
Entity
Organization
Contact information
Practice address
10641 JAMES RD, BLOOMINGTON, MN 55431-4130
(952) 229-4213
Mailing address
10641 JAMES RD, BLOOMINGTON, MN 55431-4130
(952) 229-4213
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
374950
MN
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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