Organization
NEW DYNAMIC HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHARA ADEN (RN/ OWNER)
(763) 245-1730
Entity
Organization
Contact information
Practice address
5821 CEDAR LAKE RD S OFC NO108, ST LOUIS PARK, MN 55416-1487
(763) 245-1730
Mailing address
7760 FRANCE AVE S # 1184, BLOOMINGTON, MN 55435-5800
(763) 245-1730
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39455
—
MN
Enumeration date
10/18/2022
Last updated
11/08/2024
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