| Blue Ridge Recover Llc | |
|
9964 Quaker Ln N Maple Grove MN 55369-3546 | |
| (612) 433-8355 | |
| Not Available |
| Full Name | Blue Ridge Recover Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 9964 Quaker Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Aden Yonis Muqtaar (CO-OWNER) |
| Authorized Official Contact | 6124338355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Recover Llc 9964 Quaker Ln N Maple Grove MN 55369-3546 Ph: (612) 433-8355 | Blue Ridge Recover Llc 9964 Quaker Ln N Maple Grove MN 55369-3546 Ph: (612) 433-8355 |
| NPI Number | 1245113570 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245113570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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