| Som Housing Llc | |
|
1711 W 143rd St Apt 322 Burnsville MN 55306-7991 | |
| (612) 422-5221 | |
| Not Available |
| Full Name | Som Housing Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1711 W 143rd St Apt 322, Burnsville, Minnesota |
| Authorized Official Name and Position | Fadumo Salim (OWNER) |
| Authorized Official Contact | 6124225221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Som Housing Llc 1711 W 143rd St Apt 322 Burnsville MN 55306-7991 Ph: () - | Som Housing Llc 1711 W 143rd St Apt 322 Burnsville MN 55306-7991 Ph: (612) 422-5221 |
| NPI Number | 1346949708 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346949708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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