Organization
ESSENTIAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINSI MOHAMUD MIRREH OWNER (CEO)
(612) 607-9414
Entity
Organization
Contact information
Practice address
1983 SLOAN PL STE 16, MAPLEWOOD, MN 55117-2004
(612) 607-9414
Mailing address
1983 SLOAN PL STE 16, MAPLEWOOD, MN 55117-2004
(612) 607-9414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6762169
—
MN
Enumeration date
05/12/2020
Last updated
05/12/2020
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