| Base Prep Services Llc | |
|
16349 Harvard Dr Lakeville MN 55044-6303 | |
| (612) 426-0894 | |
| Not Available |
| Full Name | Base Prep Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16349 Harvard Dr, Lakeville, Minnesota |
| Authorized Official Name and Position | Abdala Dahir Ahmed (OWNER) |
| Authorized Official Contact | 6124260894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Base Prep Services Llc 16349 Harvard Dr Lakeville MN 55044-6303 Ph: (612) 426-0894 | Base Prep Services Llc 16349 Harvard Dr Lakeville MN 55044-6303 Ph: (612) 426-0894 |
| NPI Number | 1487466983 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487466983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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