Organization
DANS VITAM LLC
Active
Other names
DANS VITAM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULAHI HASSAN MOHAMED (OWNER)
(612) 351-1493
Entity
Organization
Contact information
Practice address
7311 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55438-2324
(612) 351-1493
Mailing address
7311 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55438-2324
(612) 351-1493
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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