| Good Samaritan Care Center Llc | |
|
1650 W End Blvd Ste 100 St Louis Park MN 55416-5369 | |
| (612) 804-9439 | |
| Not Available |
| Full Name | Good Samaritan Care Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1650 W End Blvd Ste 100, St Louis Park, Minnesota |
| Authorized Official Name and Position | Rashid Jimale (OWNER) |
| Authorized Official Contact | 6128049439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Care Center Llc 1650 W End Blvd Ste 100 St Louis Park MN 55416-5369 Ph: () - | Good Samaritan Care Center Llc 1650 W End Blvd Ste 100 St Louis Park MN 55416-5369 Ph: (612) 804-9439 |
| NPI Number | 1649852757 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649852757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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