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Organization

SETTLE BRIDGE HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYUB MOHAMED (EXECUTIVE DIRECTOR)
(952) 855-2670
Entity
Organization

Contact information

Practice address
421 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2076
(952) 855-2670
Mailing address
421 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2076
(952) 855-2670

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
253Z00000X
In Home Supportive Care Agency
261QR0400X
Rehabilitation Clinic/Center
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)

Other

Enumeration date
03/05/2024
Last updated
03/05/2024
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