| Express Housing Llc | |
|
1140 Town Centre Dr Apt 15 Eagan MN 55123-2316 | |
| (763) 670-4382 | |
| Not Available |
| Full Name | Express Housing Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1140 Town Centre Dr Apt 15, Eagan, Minnesota |
| Authorized Official Name and Position | Abdul Rahman Ismail (OWNER) |
| Authorized Official Contact | 7636704382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Housing Llc 1140 Town Centre Dr Apt 15 Eagan MN 55123-2316 Ph: (763) 670-4382 | Express Housing Llc 1140 Town Centre Dr Apt 15 Eagan MN 55123-2316 Ph: (763) 670-4382 |
| NPI Number | 1538918396 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538918396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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