Healthcare Provider Details

I. General information

NPI: 1124877311
Provider Name (Legal Business Name): ALL NEEDS RESIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2024
Last Update Date: 05/18/2024
Certification Date: 05/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 E TRAVELERS TRL # 301
BURNSVILLE MN
55337-2891
US

IV. Provider business mailing address

429 E TRAVELERS TRL # 301
BURNSVILLE MN
55337-2891
US

V. Phone/Fax

Practice location:
  • Phone: 952-406-0791
  • Fax:
Mailing address:
  • Phone: 952-406-0791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KAFIYA ABDI
Title or Position: COO
Credential:
Phone: 952-406-0791