Organization
AHADI COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEM MAGARA OINO RN (OWNER)
(612) 670-4202
Entity
Organization
Contact information
Practice address
10933 26TH ST NE, SAINT MICHAEL, MN 55376-7512
(612) 670-4202
Mailing address
10933 26TH ST NE, SAINT MICHAEL, MN 55376-7512
(612) 670-4202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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