PROVISIONAL HEALTH AND REHABILITATIVE SERVICES LLC

EDEN PRAIRIE, MN
NPI1841966116
Entity TypeOrganization
Authorized ContactALI JAMA
Owner
952-687-9064
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2021-08-18
Last Update Date2021-08-18
Business Address
PROVISIONAL HEALTH AND REHABILITATIVE SERVICES LLC
12970 CARDINAL CREEK RD
EDEN PRAIRIE, MN 55346-1936
Phone number: 952-687-9064
Mailing Address
PROVISIONAL HEALTH AND REHABILITATIVE SERVICES LLC
12970 CARDINAL CREEK RD
EDEN PRAIRIE, MN 55346-1936
Phone number:
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