Organization · NPI-2

Empower Skill Academy LLC

Clinic/Center · Fridley, MN

NPI number1689305443
StatusActive
Last updated in NPPESJan 8, 2024

Details

NPI
1689305443
Entity type
Organization (NPI-2)
Legal business name
Empower Skill Academy LLC
Organization subpart
No
Enumeration date
Jun 22, 2022
Certification date
Jan 8, 2024
Last updated
Jan 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

6260 Highway 65 Ne Ste 303
Fridley, MN 55432-5150

Phone 614-218-3069

Mailing address

6260 Highway 65 Ne Ste 303
Fridley, MN 55432-5150

Authorized official

Abdullahi Sharif
Owner
6142183069

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