Organization
AEON LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHMAN AHMED OMAR (OWNER)
(612) 517-4163
Entity
Organization
Contact information
Practice address
8011 34TH AVE S STE 239, BLOOMINGTON, MN 55425-1999
(612) 517-4163
Mailing address
8011 34TH AVE S STE 239, BLOOMINGTON, MN 55425-1999
(612) 517-4163
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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