Organization
COMMUNITY DEVELOPMENT RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSIM ABDILLE (TREASURER)
(612) 636-8986
Entity
Organization
Contact information
Practice address
1005 E 24TH ST, MINNEAPOLIS, MN 55404-3833
(612) 636-8986
Mailing address
1005 E 24TH ST, MINNEAPOLIS, MN 55404-3833
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
253Z00000X
In Home Supportive Care Agency
—
MN
Other
Enumeration date
10/10/2009
Last updated
10/10/2009
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