| Heritage Stabilization LLC | |
|
13837 Echo Park Ln Burnsville MN 55337-4750 | |
| (612) 806-3714 | |
| Not Available |
| Full Name | Heritage Stabilization LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 13837 Echo Park Ln, Burnsville, Minnesota |
| Authorized Official Name and Position | Khalid Mohamed (OWNER) |
| Authorized Official Contact | 6128063714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Stabilization LLC 13837 Echo Park Ln Burnsville MN 55337-4750 | Heritage Stabilization LLC 13837 Echo Park Ln Burnsville MN 55337-4750 Ph: (612) 806-3714 |
| NPI Number | 1437858172 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437858172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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