Organization
ABYAN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMARKE ALI (MANAGER)
(612) 978-4909
Entity
Organization
Contact information
Practice address
4111 CENTRAL AVE NE STE 208H, COLUMBIA HEIGHTS, MN 55421-2953
(612) 223-5435
(763) 777-5349
Mailing address
4111 CENTRAL AVE NE STE 208H, COLUMBIA HEIGHTS, MN 55421-2953
(612) 223-5124
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A221955100
254D
MN
Enumeration date
06/23/2022
Last updated
06/25/2022
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