| Kids Abilities, Inc. | |
|
4638 Victor Path Suite 100 Hugo MN 55038 | |
| (651) 407-3777 | |
| (651) 407-7064 |
| Full Name | Kids Abilities, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4638 Victor Path, Hugo, Minnesota |
| Authorized Official Name and Position | Carol E Gilligan (PRESIDENT/OWNER) |
| Authorized Official Contact | 6514513016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Abilities, Inc. 4638 Victor Path Suite 100 Hugo MN 55038 Ph: (651) 407-3777 | Kids Abilities, Inc. 4638 Victor Path Suite 100 Hugo MN 55038 Ph: (651) 407-3777 |
| NPI Number | 1184948572 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184948572 | NPI | - | NPPES |
| 275420700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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