Organization
MIDWEST RESIENTIAL ACHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM MOHAMUD (OWNER)
(612) 447-5214
Entity
Organization
Contact information
Practice address
8344 ALDRICH AVE S, BLOOMINGTON, MN 55420-2259
(612) 447-5214
Mailing address
8344 ALDRICH AVE S, BLOOMINGTON, MN 55420-2259
(612) 447-5214
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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