| Sunshine Center Llc | |
|
298 Ely St Ne Fridley MN 55432-1722 | |
| (612) 275-1224 | |
| Not Available |
| Full Name | Sunshine Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 298 Ely St Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Abdulkadir I Ali (PRESIDENT) |
| Authorized Official Contact | 6122751224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Center Llc 298 Ely St Ne Fridley MN 55432-1722 Ph: (612) 275-1224 | Sunshine Center Llc 298 Ely St Ne Fridley MN 55432-1722 Ph: (612) 275-1224 |
| NPI Number | 1215521109 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215521109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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