| Beacon Home Health | |
|
8700 W 36th St Ste 253 St Louis Park MN 55426-3906 | |
| (612) 207-2464 | |
| Not Available |
| Full Name | Beacon Home Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8700 W 36th St Ste 253, St Louis Park, Minnesota |
| Authorized Official Name and Position | Muhamadamin Mohamed (OWNER) |
| Authorized Official Contact | 6122072464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Home Health 8700 W 36th St Ste 253 St Louis Park MN 55426-3906 Ph: (612) 207-2464 | Beacon Home Health 8700 W 36th St Ste 253 St Louis Park MN 55426-3906 Ph: (612) 207-2464 |
| NPI Number | 1285461343 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285461343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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