Organization
BLUE RIDGE RECOVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEN YONIS MUQTAAR (CO-OWNER)
(612) 433-8355
Entity
Organization
Contact information
Practice address
9964 QUAKER LN N, MAPLE GROVE, MN 55369-3546
(612) 433-8355
Mailing address
9964 QUAKER LN N, MAPLE GROVE, MN 55369-3546
(612) 433-8355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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