| Access House | |
|
1883 Deer Hills Trl Eagan MN 55122-2284 | |
| (651) 528-2869 | |
| Not Available |
| Full Name | Access House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1883 Deer Hills Trl, Eagan, Minnesota |
| Authorized Official Name and Position | Suad B Jama (OWNER) |
| Authorized Official Contact | 6515282869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access House 1883 Deer Hills Trl Eagan MN 55122-2284 Ph: (651) 528-2869 | Access House 1883 Deer Hills Trl Eagan MN 55122-2284 Ph: (651) 528-2869 |
| NPI Number | 1417534496 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417534496 | NPI | - | NPPES |
| 6515282869 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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