| Amolo House | |
|
3730 Fremont Ave N Minneapolis MN 55412-2014 | |
| (612) 221-5370 | |
| Not Available |
| Full Name | Amolo House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3730 Fremont Ave N, Minneapolis, Minnesota |
| Authorized Official Name and Position | Asha Lee Ouma (OWNER) |
| Authorized Official Contact | 6122215370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amolo House 2211 Upton Ave N Minneapolis MN 55411-2314 Ph: (612) 221-5370 | Amolo House 3730 Fremont Ave N Minneapolis MN 55412-2014 Ph: (612) 221-5370 |
| NPI Number | 1235743634 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235743634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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