Organization
NOVA CARE CENTER LLC
Active
Parent organization
NOVA CARE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVA CARE CENTER LLC
Authorized official
AYAN ABDI MAHAMUD (EXECUTIVE DIRECTOR)
(612) 964-0142
Entity
Organization
Contact information
Practice address
8673 COLUMBINE RD, EDEN PRAIRIE, MN 55344-7668
(612) 964-0142
Mailing address
8673 COLUMBINE RD, EDEN PRAIRIE, MN 55344-7668
(612) 964-0142
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
04/29/2023
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