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Organization

GIVING BACK HEALTH SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES MICHEAL HAU (OWNER)
(651) 214-8344
Entity
Organization

Contact information

Practice address
2363 ELDRIDGE AVE E, NORTH SAINT PAUL, MN 55109-4087
(651) 214-8344
Mailing address
2357 ELDRIDGE AVE E, NORTH SAINT PAUL, MN 55109-4087
(651) 214-8344

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10280831AFC
MN

Other

Enumeration date
12/26/2006
Last updated
08/22/2020
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