| Essential Living Llc | |
|
7201 York Ave S Apt 613 Edina MN 55435-4444 | |
| (612) 477-8824 | |
| Not Available |
| Full Name | Essential Living Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7201 York Ave S Apt 613, Edina, Minnesota |
| Authorized Official Name and Position | Liban Hassan (ADMINISTRATOR) |
| Authorized Official Contact | 6124778824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Living Llc 7201 York Ave S Apt 613 Edina MN 55435-4444 Ph: (612) 477-8824 | Essential Living Llc 7201 York Ave S Apt 613 Edina MN 55435-4444 Ph: (612) 477-8824 |
| NPI Number | 1073360764 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073360764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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