Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIDWAAN ABDIKADIR (OWNER)
(612) 385-7266
Entity
Organization
Contact information
Practice address
15051 GREENHAVEN DR APT 210, BURNSVILLE, MN 55306-6179
(612) 385-7266
Mailing address
15051 GREENHAVEN DR APT 210, BURNSVILLE, MN 55306-6179
(612) 385-7266
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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