Provider Demographics
NPI:1780127399
Name:BANADIR ADULT DAY CARE INC
Entity type:Organization
Organization Name:BANADIR ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-598-3333
Mailing Address - Street 1:8755 HILLSWICK TRL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1923
Mailing Address - Country:US
Mailing Address - Phone:612-598-3333
Mailing Address - Fax:
Practice Address - Street 1:1208 E LAKE ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1621
Practice Address - Country:US
Practice Address - Phone:612-598-3333
Practice Address - Fax:612-249-5198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care