Organization
SOUTHVIEW AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATUMA BULE (DIRECTOR)
(651) 808-0433
Entity
Organization
Contact information
Practice address
4555 ERIN DR # 203, EAGAN, MN 55122-3398
(651) 808-0433
Mailing address
1865 OLD HUDSON RD # B2, SAINT PAUL, MN 55119-4308
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
07/30/2025
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