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Organization
ACCESS RECOVERY CENTER INC.
Active
Organization
ACCESS RECOVERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH MOHAMED ALI (OWNER)
(763) 400-1366
Entity
Organization
Contact information
Practice address
17365 FONTANA PATH, FARMINGTON, MN 55024-9021
(763) 400-1366
Mailing address
17365 FONTANA PATH, FARMINGTON, MN 55024-9021
(763) 400-1366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
310400000X
Assisted Living Facility
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
05/31/2020
Last updated
08/27/2020
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