Organization
CRESCENT RECUPERATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QIYAM JAHANGIR (OWNER/AUTHORIZED OFFICIAL)
(612) 607-2006
Entity
Organization
Contact information
Practice address
10010 36TH PL N, PLYMOUTH, MN 55441-1654
(612) 234-0088
Mailing address
10010 36TH PL N, PLYMOUTH, MN 55441-1654
(612) 234-0088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/01/2026
Last updated
01/07/2026
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