Organization
PRAIRIE HORIZONS HEALTH INC
Active
Other names
PRAIRIE HORIZONS HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMAKE A MOHAMED (MANAGER)
(612) 404-9895
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 149, SAINT PAUL, MN 55104-2891
(612) 404-9895
Mailing address
1821 UNIVERSITY AVE W STE 149, SAINT PAUL, MN 55104-2891
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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