| Pathways Residential Center LLC | |
|
1023 Falcon Rd Se Rochester MN 55904-7828 | |
| (507) 884-3237 | |
| Not Available |
| Full Name | Pathways Residential Center LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1023 Falcon Rd Se, Rochester, Minnesota |
| Authorized Official Name and Position | Musse Mohamed (OWNER) |
| Authorized Official Contact | 5078843237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Residential Center LLC 1023 Falcon Rd Se Rochester MN 55904-7828 | Pathways Residential Center LLC 1023 Falcon Rd Se Rochester MN 55904-7828 Ph: (507) 884-3237 |
| NPI Number | 1740097484 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740097484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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