Prudence Professional Services, Llc | |
3034 Boone Ave N New Hope MN 55427-2419 | |
(612) 701-3202 | |
Not Available |
Full Name | Prudence Professional Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3034 Boone Ave N, New Hope, Minnesota |
Authorized Official Name and Position | Niket Nneka Allen-fahnbulleh (CEO) |
Authorized Official Contact | 6127013202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prudence Professional Services, Llc 3034 Boone Ave N New Hope MN 55427-2419 Ph: (612) 701-3202 | Prudence Professional Services, Llc 3034 Boone Ave N New Hope MN 55427-2419 Ph: (612) 701-3202 |
NPI Number | 1265888226 |
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Provider Enumeration Date | 05/09/2016 |
Last Update Date | 05/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265888226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 880516800033 (Minnesota) | Primary |
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