Provider Demographics
NPI:1003593815
Name:ALEDICT HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:ALEDICT HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:SIEMON
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-955-6989
Mailing Address - Street 1:4124 QUEBEC AVE N STE 302C
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55427-1241
Mailing Address - Country:US
Mailing Address - Phone:952-955-6989
Mailing Address - Fax:
Practice Address - Street 1:4124 QUEBEC AVE N STE 302C
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55427-1241
Practice Address - Country:US
Practice Address - Phone:952-955-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health