Organization
ESSENTIAL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN HASSAN (ADMINISTRATOR)
(612) 477-8824
Entity
Organization
Contact information
Practice address
7201 YORK AVE S APT 613, EDINA, MN 55435-4444
(612) 477-8824
Mailing address
7201 YORK AVE S APT 613, EDINA, MN 55435-4444
(612) 477-8824
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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