La Costa Health Services Llc | |
2817 Anthony Ln S Ste 106 St Anthony MN 55418-2489 | |
(612) 788-4290 | |
(612) 788-4290 |
Full Name | La Costa Health Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2817 Anthony Ln S Ste 106, St Anthony, Minnesota |
Authorized Official Name and Position | Mahamud Mahad Abdi (DIRECTOR) |
Authorized Official Contact | 6198653475 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
La Costa Health Services Llc 2817 Anthony Ln S Ste 106 St Anthony MN 55418-2489 Ph: (612) 788-4290 | La Costa Health Services Llc 2817 Anthony Ln S Ste 106 St Anthony MN 55418-2489 Ph: (612) 788-4290 |
NPI Number | 1710338462 |
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Provider Enumeration Date | 06/23/2016 |
Last Update Date | 06/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710338462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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