| Care Alliance Network Llc | |
|
510 25th Ave N Ste 3b Saint Cloud MN 56303-1630 | |
| (320) 221-4902 | |
| Not Available |
| Full Name | Care Alliance Network Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 25th Ave N Ste 3b, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Abdi H Daisane (CEO) |
| Authorized Official Contact | 3202234902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Alliance Network Llc Po Box 2354 Saint Cloud MN 56302-2354 Ph: (320) 223-4902 | Care Alliance Network Llc 510 25th Ave N Ste 3b Saint Cloud MN 56303-1630 Ph: (320) 221-4902 |
| NPI Number | 1558110809 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558110809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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