| Peaceful Home And Community Care Llc | |
|
8298 University Ave Ne Fridley MN 55432-2896 | |
| (763) 742-0952 | |
| (763) 432-3857 |
| Full Name | Peaceful Home And Community Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8298 University Ave Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Maftuha Abdulla Hassan (OWNER/CEO) |
| Authorized Official Contact | 7637420952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Home And Community Care Llc 8298 University Ave Ne Fridley MN 55432-2896 Ph: (763) 742-0952 | Peaceful Home And Community Care Llc 8298 University Ave Ne Fridley MN 55432-2896 Ph: (763) 742-0952 |
| NPI Number | 1639990856 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639990856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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