Organization
ESSENTIAL GRACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED ADAM (OWNER)
(612) 978-0760
Entity
Organization
Contact information
Practice address
2833 13TH AVE S STE 215, MINNEAPOLIS, MN 55407-1417
(612) 978-0760
Mailing address
2833 13TH AVE S STE 215, MINNEAPOLIS, MN 55407-1417
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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