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Edan Oak LLC — NPI 1760274203, Eden Prairie, MN | NPI Central

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NPI 1760274203

OrganizationActive

Edan Oak LLC

NPI 1760274203 · Assisted Living Facility (Mental Illness) · Eden Prairie, MN

Provider details

NPI number: 1760274203
Entity type: Organization
Primary specialty: Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Sandol Khalaf, Owner(612) 644-0643

Specialties & taxonomies

Assisted Living Facility (Mental Illness)Primary3104A0625X
Nursing & Custodial Care Facilities
Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Assisted Living Facility (Behavioral Disturbances)3104A0630X
Nursing & Custodial Care Facilities

Practice location

6216 Baker Rd

Eden Prairie, MN 55346-1928

Phone: (612) 644-0643

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

7400 Cedar Ave S

Minneapolis, MN 55423-4647

Other names (DBA / former)

Doing business as: Edan Oak Assisted Living

Registry dates

Enumerated: 2025-05-20
Last updated: 2025-05-20
Certified: 2025-05-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.