| Epic Health Care Llc | |
|
19201 Blue Stem Ct Maple Grove MN 55311-5497 | |
| (612) 298-7909 | |
| Not Available |
| Full Name | Epic Health Care Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 19201 Blue Stem Ct, Maple Grove, Minnesota |
| Authorized Official Name and Position | Abel Bwianchinga (CEO) |
| Authorized Official Contact | 6122987909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Health Care Llc 19201 Blue Stem Ct Maple Grove MN 55311-5497 Ph: (612) 298-7909 | Epic Health Care Llc 19201 Blue Stem Ct Maple Grove MN 55311-5497 Ph: (612) 298-7909 |
| NPI Number | 1962141937 |
|---|---|
| Provider Enumeration Date | 05/29/2022 |
| Last Update Date | 05/29/2022 |
| Certification Date | 05/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962141937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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