| Inova Care Services | |
|
1710 Douglas Dr N Ste 226x Golden Valley MN 55422-4371 | |
| (612) 703-8828 | |
| Not Available |
| Full Name | Inova Care Services |
|---|---|
| Speciality | Social Worker |
| Location | 1710 Douglas Dr N Ste 226x, Golden Valley, Minnesota |
| Authorized Official Name and Position | Soreya Mohamud Jama (CEO) |
| Authorized Official Contact | 6127038828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inova Care Services 1710 Douglas Dr N Ste 226x Golden Valley MN 55422-4371 Ph: (612) 703-8828 | Inova Care Services 1710 Douglas Dr N Ste 226x Golden Valley MN 55422-4371 Ph: (612) 703-8828 |
| NPI Number | 1033888391 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 1759736473 |
|---|---|
| Medicare Enrollment ID | O20231016000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033888391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Soreya Mohamud Jama |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053790568 PECOS PAC ID: 0749635464 Enrollment ID: I20231219001499 |
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