The Landing Of Minnesota, Llc | |
1585 Rice St. St. Paul MN 55117 | |
(844) 526-3454 | |
(651) 448-2147 |
Full Name | The Landing Of Minnesota, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1585 Rice St., St. Paul, Minnesota |
Authorized Official Name and Position | Damir Stevan Utrzan (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 6129007021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Landing Of Minnesota, Llc 1295 Northland Dr Ste 270 Mendota Heights MN 55120-1373 Ph: (612) 900-7021 | The Landing Of Minnesota, Llc 1585 Rice St. St. Paul MN 55117 Ph: (844) 526-3454 |
NPI Number | 1538945092 |
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Provider Enumeration Date | 08/31/2023 |
Last Update Date | 09/09/2024 |
Certification Date | 09/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538945092 | NPI | - | NPPES |
1118449 | Other | MN | DEPARTMENT OF HUMAN SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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