| Phoenix 180 Housing Llc | |
|
9450 Lexington Ave N Apt 223 Circle Pines MN 55014-1629 | |
| (480) 266-2247 | |
| Not Available |
| Full Name | Phoenix 180 Housing Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 9450 Lexington Ave N Apt 223, Circle Pines, Minnesota |
| Authorized Official Name and Position | Chaltu Said (OWNER) |
| Authorized Official Contact | 4802662247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix 180 Housing Llc 9450 Lexington Ave N Apt 223 Circle Pines MN 55014-1629 Ph: () - | Phoenix 180 Housing Llc 9450 Lexington Ave N Apt 223 Circle Pines MN 55014-1629 Ph: (480) 266-2247 |
| NPI Number | 1669162178 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669162178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Lexington Square Chiropractic Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4137 Woodland Rd, Circle Pines, MN 55014 Phone: 763-784-5104 |