Cusman Jiire LLC
Clinic/Center, Adult Mental Health in Edina, MN. Organization (NPI-2).
NPI number1275315293
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1275315293
- Entity type
- Organization (NPI-2)
- Legal business name
- Cusman Jiire LLC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2023
- Certification date
- Oct 15, 2023
- Last updated
- Oct 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Cusman Jiire LLC (Doing Business As)
Practice location
6300 York Ave S Apt 208Edina, MN 55435-2288
Phone 612-644-4950
Mailing address
6300 York Ave S Apt 208Edina, MN 55435-2288
Phone 612-644-4950
Authorized official
Faadil Sheikhmohamed
Director
6126444950
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