Organization
SAFE HARBOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMAL-KHAYR ABDIRAHMAN OMAR (OWNER)
(612) 806-7860
Entity
Organization
Contact information
Practice address
12031 TERRACE CT NE, BLAINE, MN 55434-3384
(612) 806-7860
Mailing address
12031 TERRACE CT NE, BLAINE, MN 55434-3384
(612) 806-7860
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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