Organization · NPI-2
Angel Preferred Care LLC
Home Health · Eden Prairie, MN
NPI number1083402291
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1083402291
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Preferred Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2025
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
8300 Commonwealth Dr Apt 504Eden Prairie, MN 55344-3370
Phone 734-695-1952 · Fax 734-695-1952
Mailing address
8300 Commonwealth Dr Apt 504Eden Prairie, MN 55344-3370
Phone 734-695-1952 · Fax 734-695-1952
Authorized official
Sara Abdirahman
Owner
7346951952
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