| Libin Residence Llc | |
|
1504 13th St S Saint Cloud MN 56301-5418 | |
| (320) 291-9411 | |
| Not Available |
| Full Name | Libin Residence Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1504 13th St S, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Abyan Khalif Ahmed (OWNER) |
| Authorized Official Contact | 3202919411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libin Residence Llc 1504 13th St S Saint Cloud MN 56301-5418 Ph: (320) 291-9411 | Libin Residence Llc 1504 13th St S Saint Cloud MN 56301-5418 Ph: (320) 291-9411 |
| NPI Number | 1407673221 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407673221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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