Organization
BLUE STAR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIGANI AHMED (OWNER)
(320) 217-5048
Entity
Organization
Contact information
Practice address
625 12TH AVE N APT 212, SAINT CLOUD, MN 56303-3588
(320) 217-5048
(320) 295-7862
Mailing address
625 12TH AVE N APT 212, SAINT CLOUD, MN 56303-3588
(320) 217-5048
(320) 295-7862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
09/03/2024
Last updated
12/02/2025
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