Organization
LAKES HOUSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID MOHAMED AHMEED (CEO)
(612) 208-6703
Entity
Organization
Contact information
Practice address
13176 CORAL SEA CT NE, BLAINE, MN 55449-0019
(612) 547-8061
Mailing address
13176 CORAL SEA CT NE, BLAINE, MN 55449-0019
(612) 547-8061
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
03/20/2024
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