| Success Arena Home Health And Social Services | |
|
13003 Packard St Ne Blaine MN 55449-2204 | |
| (952) 818-4363 | |
| Not Available |
| Full Name | Success Arena Home Health And Social Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 13003 Packard St Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Bolaniran Oyeneyin (DIRECTOR) |
| Authorized Official Contact | 9528184363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Arena Home Health And Social Services 13003 Packard St Ne Blaine MN 55449-2204 Ph: (952) 818-4363 | Success Arena Home Health And Social Services 13003 Packard St Ne Blaine MN 55449-2204 Ph: (952) 818-4363 |
| NPI Number | 1942056858 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942056858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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