Organization
ABYAN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMARKE MOHAMUD ALI (MANAGER)
(612) 275-6282
Entity
Organization
Contact information
Practice address
4111 CENTRAL AVE NE STE 208H, COLUMBIA HEIGHTS, MN 55421-2953
(612) 223-5124
Mailing address
4111 CENTRAL AVE NE STE 208H, COLUMBIA HEIGHTS, MN 55421-2953
(612) 223-5124
(763) 777-5349
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A221955100
HOME CARE SERVICES
MN
Enumeration date
04/23/2022
Last updated
07/08/2022
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