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Organization

DESTINY RESIDENTIAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MUHSIN AHMED (OWNER)
(612) 532-6250
Entity
Organization

Contact information

Practice address
1440 85TH AVE NE UNIT L, SPRING LAKE PARK, MN 55432-1323
(763) 213-6236
Mailing address
1440 85TH AVE NE UNIT L, SPRING LAKE PARK, MN 55432-4437
(763) 213-6236

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/28/2022
Last updated
05/09/2025
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