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Organization

ELITE HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIRIZAQ ABDIRAHMAN FARAH (OWNER)
(612) 363-2105
Entity
Organization

Contact information

Practice address
2355 HIGHWAY 36 W STE 400, SAINT PAUL,, MN 55113-3905
(612) 363-2105
Mailing address
2355 HIGHWAY 36 W STE 400, SAINT PAUL,, MN 55113-3905
(612) 363-2105

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/28/2024
Last updated
10/28/2024
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