Organization
HENNEPIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN ALI (OWNER)
(612) 242-7940
Entity
Organization
Contact information
Practice address
960 E HENNEPIN AVE, MINNEAPOLIS, MN 55414-1314
(612) 242-7940
Mailing address
960 E HENNEPIN AVE, MINNEAPOLIS, MN 55414-1314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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