Organization
NORTH STAR RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED ABDULKADIR (EXECUTIVE DIRECTOR)
(612) 978-1992
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 210F, BROOKLYN CENTER, MN 55430-2330
(612) 978-1992
Mailing address
5701 SHINGLE CREEK PKWY STE 210F, BROOKLYN CENTER, MN 55430-2330
(612) 978-1992
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
09/21/2022
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