Organization
AVICENNA CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABAS DAKANE (EXECUITVE DIRECTOR)
(612) 481-9460
Entity
Organization
Contact information
Practice address
4124 QUEBEC AVE N STE 202, NEW HOPE, MN 55427-1240
(763) 264-3165
Mailing address
4124 QUEBEC AVE N STE 202, NEW HOPE, MN 55427-1240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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