Individual provider · NPI-1

Faduma Abdi Ahmed

Assisted Living Facility · Brooklyn Park, MN

NPI number1831961234
StatusActive
Last updated in NPPESJan 10, 2024

Details

NPI
1831961234
Entity type
Individual (NPI-1)
Name
Faduma Abdi Ahmed
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2023
Certification date
Jan 10, 2024
Last updated
Jan 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility–MNYes

Practice location

4309 Marigold Ave N
Brooklyn Park, MN 55443-1546

Phone 612-666-8499

Mailing address

2705 Herschel St Unit B319
Roseville, MN 55113-4495

Phone 612-666-8499

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