Minnesota Healthcare Services LLC
Clinic/Center in Edina, MN. Organization (NPI-2).
NPI number1629832829
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1629832829
- Entity type
- Organization (NPI-2)
- Legal business name
- Minnesota Healthcare Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2024
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
7400 Metro Blvd # 100-5Edina, MN 55439-2316
Phone 612-460-5094
Mailing address
7400 Metro Blvd # 100-5Edina, MN 55439-2316
Authorized official
Abdisalan Dirsh
Owner
6124605094
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