| Lifebridge Support Inc | |
|
5600 162nd St W Lakeville MN 55044-2271 | |
| (480) 745-9593 | |
| Not Available |
| Full Name | Lifebridge Support Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 5600 162nd St W, Lakeville, Minnesota |
| Authorized Official Name and Position | Zubeir Ahmed Ali (OWNER) |
| Authorized Official Contact | 4807459593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Support Inc 5600 162nd St W Lakeville MN 55044-2271 Ph: () - | Lifebridge Support Inc 5600 162nd St W Lakeville MN 55044-2271 Ph: (480) 745-9593 |
| NPI Number | 1649167057 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649167057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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