Provider Demographics
NPI:1194521260
Name:DUALE INC
Entity type:Organization
Organization Name:DUALE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISTAHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-644-8831
Mailing Address - Street 1:1167 15TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-4155
Mailing Address - Country:US
Mailing Address - Phone:612-644-8831
Mailing Address - Fax:612-354-2952
Practice Address - Street 1:1167 15TH AVE SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-4155
Practice Address - Country:US
Practice Address - Phone:612-644-8831
Practice Address - Fax:612-354-2952
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUALE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility