| NPI | 1639765654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHUBA AHMED OSMAN Manager 612-483-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |