Organization · NPI-2

Allied Healing Center INC

Early Intervention Provider Agency · Minneapolis, MN

NPI number1386283737
StatusActive
Last updated in NPPESJan 2, 2020

Details

NPI
1386283737
Entity type
Organization (NPI-2)
Legal business name
Allied Healing Center INC
Organization subpart
No
Enumeration date
Jan 2, 2020
Certification date
Jan 2, 2020
Last updated
Jan 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes

Other names

  • None Applicable (Doing Business As)

Practice location

2104 Park Ave Ste 102d
Minneapolis, MN 55404-6607

Phone 773-681-4276 · Fax 612-444-8956

Mailing address

2104 Park Ave Ste 102d
Minneapolis, MN 55404-6607

Authorized official

Abdikhaliq Jibril
Owner/Manager
7736814276

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