| Mains'l Services, Inc. | |
|
7000 78th Ave N Brooklyn Park MN 55445-2744 | |
| (763) 494-4553 | |
| (763) 416-9198 |
| Full Name | Mains'l Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7000 78th Ave N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Teresa C. Williams (PRESIDENT/CEO) |
| Authorized Official Contact | 7634944553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mains'l Services, Inc. 7000 78th Ave N Brooklyn Park MN 55445-2744 Ph: (763) 494-4553 | Mains'l Services, Inc. 7000 78th Ave N Brooklyn Park MN 55445-2744 Ph: (763) 494-4553 |
| NPI Number | 1053687996 |
|---|---|
| Provider Enumeration Date | 03/26/2012 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053687996 | NPI | - | NPPES |
| M606270900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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