| Aba Community Care Llc | |
|
22 Wilson Ave Ne Ste 101 Saint Cloud MN 56304-0406 | |
| (320) 420-3168 | |
| (320) 968-1251 |
| Full Name | Aba Community Care Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 22 Wilson Ave Ne Ste 101, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Abdirahman Mohamud Mohamed (OWNER) |
| Authorized Official Contact | 3204203168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Community Care Llc 22 Wilson Ave Ne Ste 101 Saint Cloud MN 56304-0406 Ph: (320) 420-3168 | Aba Community Care Llc 22 Wilson Ave Ne Ste 101 Saint Cloud MN 56304-0406 Ph: (320) 420-3168 |
| NPI Number | 1063221000 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063221000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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