Organization
HERO KID CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSMAN MOHAMUD HASSAN (CEO)
(612) 806-5655
Entity
Organization
Contact information
Practice address
8200 HUMBOLDT AVE S, 210, BLOOMINGTON, MN 55431
(612) 806-5655
(952) 556-9845
Mailing address
8200 HUMBOLDT AVE S, 210, BLOOMINGTON, MN 55431
(612) 806-5655
(952) 556-9845
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
03/03/2021
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