LA COSTA HEALTH SERVICES LLC

ST ANTHONY, MN
NPI1710338462
Entity TypeOrganization
Authorized ContactMAHAMUD MAHAD ABDI
Director
619-865-3475
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2016-06-23
Last Update Date2016-06-23
Business Address
LA COSTA HEALTH SERVICES LLC
2817 ANTHONY LN S STE 106
ST ANTHONY, MN 55418-2489
Phone number: 612-788-4290
Mailing Address
LA COSTA HEALTH SERVICES LLC
2817 ANTHONY LN S STE 106
ST ANTHONY, MN 55418-2489
Phone number: 612-788-4290