Organization
CRESCENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CUBAYDULAH NORIDIN ABDULKADIR (EXECUTIVE DIRECTOR)
(612) 232-9237
Entity
Organization
Contact information
Practice address
13415 54TH AVE N, PLYMOUTH, MN 55442-1767
(763) 998-6184
Mailing address
13415 54TH AVE N, PLYMOUTH, MN 55442-1767
(763) 998-6184
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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