| Destiny Residential Services | |
|
333 Rice Creek Ter Ne Fridley MN 55432-4437 | |
| (612) 532-6250 | |
| Not Available |
| Full Name | Destiny Residential Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 333 Rice Creek Ter Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Muhsin Ahmed (OWNER) |
| Authorized Official Contact | 6125326250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Residential Services 333 Rice Creek Ter Ne Fridley MN 55432-4437 Ph: (612) 532-6250 | Destiny Residential Services 333 Rice Creek Ter Ne Fridley MN 55432-4437 Ph: (612) 532-6250 |
| NPI Number | 1073237566 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073237566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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