Blossom Healthcare Services Llc | |
1875 Plaza Dr Ste 12c Saint Paul MN 55122-2613 | |
(651) 302-9281 | |
Not Available |
Full Name | Blossom Healthcare Services Llc |
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Speciality | Clinic/center |
Location | 1875 Plaza Dr Ste 12c, Saint Paul, Minnesota |
Authorized Official Name and Position | Yahye Mohamed Takal (OWNER) |
Authorized Official Contact | 6513029281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blossom Healthcare Services Llc 1875 Plaza Dr Ste 12c Saint Paul MN 55122-2613 Ph: (651) 302-9281 | Blossom Healthcare Services Llc 1875 Plaza Dr Ste 12c Saint Paul MN 55122-2613 Ph: (651) 302-9281 |
NPI Number | 1215769005 |
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Provider Enumeration Date | 08/19/2024 |
Last Update Date | 10/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215769005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |