Evolving Care INC
Clinic/Center in Minneapolis, MN. Organization (NPI-2).
NPI number1194570853
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1194570853
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolving Care INC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
322 W Lake St Ste 215Minneapolis, MN 55408-5202
Phone 612-615-8373
Mailing address
322 W Lake St Ste 215Minneapolis, MN 55408-5202
Phone 612-615-8373
Authorized official
Abdirahman Hussein Dahir
Owner
6126158373
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