Organization
INTEGRATED COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MAHMUD (PROGRAM DIRECTOR)
(612) 488-2272
Entity
Organization
Contact information
Practice address
4836 NORD DR, BLOOMINGTON, MN 55437-3000
(612) 488-2272
(612) 488-2272
Mailing address
4836 NORD DR, BLOOMINGTON, MN 55437-3000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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