Shining Minds INC
Clinic/Center in Bloomington, MN. Organization (NPI-2).
NPI number1023904604
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1023904604
- Entity type
- Organization (NPI-2)
- Legal business name
- Shining Minds INC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
10700 Lyndale Ave S Ste 100aBloomington, MN 55420-5641
Phone 619-841-8488
Mailing address
10700 Lyndale Ave S Ste 100aBloomington, MN 55420-5641
Phone 619-841-8488
Authorized official
Abdirahim Ali Abdalla
Owner
6198418488
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