Organization
ANGEL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANHAR BADRI IBRAHIM (OWNER)
(763) 898-8368
Entity
Organization
Contact information
Practice address
7260 UNIVERSITY AVE NE STE 315, FRIDLEY, MN 55432-3129
(763) 898-8368
Mailing address
12648 LEYTE ST NE, BLAINE, MN 55449-6791
(763) 898-8368
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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