| Blooming Ridge Llc | |
|
1600 E 80th St Bloomington MN 55425-1167 | |
| (612) 205-7792 | |
| Not Available |
| Full Name | Blooming Ridge Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 E 80th St, Bloomington, Minnesota |
| Authorized Official Name and Position | Mariam Farah (OWNER) |
| Authorized Official Contact | 6122057792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Ridge Llc 1600 E 80th St Bloomington MN 55425-1167 Ph: () - | Blooming Ridge Llc 1600 E 80th St Bloomington MN 55425-1167 Ph: (612) 205-7792 |
| NPI Number | 1568286458 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568286458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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