| Phoenix Health Llc | |
|
3760 Silver Lake Rd Ne Apt 1354 Minneapolis MN 55421-4484 | |
| (612) 298-3561 | |
| Not Available |
| Full Name | Phoenix Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3760 Silver Lake Rd Ne Apt 1354, Minneapolis, Minnesota |
| Authorized Official Name and Position | Omar Mohamud (MANAGER) |
| Authorized Official Contact | 6122983561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Health Llc 3760 Silver Lake Rd Ne Apt 1354 Minneapolis MN 55421-4484 Ph: () - | Phoenix Health Llc 3760 Silver Lake Rd Ne Apt 1354 Minneapolis MN 55421-4484 Ph: (612) 298-3561 |
| NPI Number | 1669212809 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 05/27/2024 |
| Certification Date | 05/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669212809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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