| Stable Housing Llc | |
|
1620 Lusitano St Apt 201 Shakopee MN 55379-4688 | |
| (571) 488-4544 | |
| Not Available |
| Full Name | Stable Housing Llc |
|---|---|
| Speciality | Counselor |
| Location | 1620 Lusitano St Apt 201, Shakopee, Minnesota |
| Authorized Official Name and Position | Abdirizak Hashim Abdulahi (CEO/OWNER) |
| Authorized Official Contact | 5714884544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stable Housing Llc 1620 Lusitano St Apt 201 Shakopee MN 55379-4688 Ph: (571) 488-4544 | Stable Housing Llc 1620 Lusitano St Apt 201 Shakopee MN 55379-4688 Ph: (571) 488-4544 |
| NPI Number | 1992579643 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992579643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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