| Angel Academy Inc. | |
|
2208 E 117th St Burnsville MN 55337-1265 | |
| (612) 545-5259 | |
| Not Available |
| Full Name | Angel Academy Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2208 E 117th St, Burnsville, Minnesota |
| Authorized Official Name and Position | Ismahan Afraah (PRESIDENT) |
| Authorized Official Contact | 9522975333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Academy Inc. 2208 E 117th St Burnsville MN 55337-1265 Ph: () - | Angel Academy Inc. 2208 E 117th St Burnsville MN 55337-1265 Ph: (612) 545-5259 |
| NPI Number | 1962128439 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962128439 | NPI | - | NPPES |
| M000-077-620-700 | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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