| Ej Haven Llc | |
|
5139 Humboldt Ave N Minneapolis MN 55430-3426 | |
| (763) 568-9519 | |
| Not Available |
| Full Name | Ej Haven Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 5139 Humboldt Ave N, Minneapolis, Minnesota |
| Authorized Official Name and Position | Idowu Olusegun Obazeluwa (OWNER) |
| Authorized Official Contact | 7635689519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ej Haven Llc 5139 Humboldt Ave N Minneapolis MN 55430-3426 Ph: () - | Ej Haven Llc 5139 Humboldt Ave N Minneapolis MN 55430-3426 Ph: (763) 568-9519 |
| NPI Number | 1356132674 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356132674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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