Organization
MERCY SUNRISE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDI QANI AHMED ISMAIL (OWNER)
(614) 285-1738
Entity
Organization
Contact information
Practice address
1750 RIVERSIDE DR, SHAKOPEE, MN 55379-8515
(614) 285-1738
Mailing address
1750 RIVERSIDE DR, SHAKOPEE, MN 55379-8515
(614) 285-1738
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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