Organization
LIONS UNITED FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ROBERT CAMERON (LIFE COACH)
(651) 348-7278
Entity
Organization
Contact information
Practice address
2535 PILOT KNOB RD STE 126, MENDOTA HEIGHTS, MN 55120-1170
(651) 348-7278
Mailing address
2535 PILOT KNOB RD STE 126, MENDOTA HEIGHTS, MN 55120-1170
(651) 348-7278
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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