MEDICARE: ARAB ABDI

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	253Z00000X	In Home Supportive Care Agency		MN

General Provider Information

NPI Number	:	1326847146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARAB ABDI

Provider Business Mailing Address
First Line	:	11138 POLK ST NE
Second Line	:
City	:	BLAINE
State	:	MN
Zip	:	55434-7411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11138 POLK ST NE
Second Line	:
City	:	BLAINE
State	:	MN
Zip	:	55434-7411
Country	:	US
Telephone Number	:	816-456-8989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	03/12/2025

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Directions to “ ARAB ABDI ” Practice Location

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