MEDICARE: ALLIED COMMUNITY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1235905654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	5995 LINCOLN DR APT 426
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55436-6122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5995 LINCOLN DR APT 426
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55436-6122
Country	:	US
Telephone Number	:	614-316-8707
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	AYAN MUSSE
Credential	:
Telephone Number	:	614-316-8707

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	11/27/2023

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Directions to “ALLIED COMMUNITY SERVICES ” Practice Location

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