Organization
EXCELLENCE COMMUNITY CLINIC CENTER
Active
Parent organization
EXCELLENCE COMMUNITY CLINIC CENTER
Other names
None
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELLENCE COMMUNITY CLINIC CENTER
Authorized official
ABDIQADIR SALAD HASSAN (DIRECTOR)
(562) 606-8284
Entity
Organization
Contact information
Practice address
105 BLAKE RD N APT 206, HOPKINS, HOPKINS, MN 55343-8266
(562) 606-8284
Mailing address
105 BLAKE RD N APT 206, HOPKINS, HOPKINS, MN 55343-8266
(562) 606-8284
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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