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NPI Code Detail

MEDICARE: MOHAMED ABDISALAN ADEN

MEDICARE:   MOHAMED ABDISALAN ADEN
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1245857614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ABDISALAN ADEN
Provider Business Mailing Address
First Line : 2833 13TH AVE S STE 120
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1417
Country : US
Telephone Number : 952-994-4588
Fax Number :
Provider Business Practice Location Address
First Line : 2833 13TH AVE S STE 120
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1417
Country : US
Telephone Number : 952-994-4588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 07/01/2020

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Directions to “ MOHAMED ABDISALAN ADEN ” Practice Location

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