Organization
HOUSING CLINIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMADOU SOPSE UMAROU YAYAH (PROGRAM MANAGER)
(651) 434-4794
Entity
Organization
Contact information
Practice address
3105 COUNTRYSIDE BAY UNIT C, WOODBURY, MN 55129-7817
(651) 434-4794
Mailing address
3105 COUNTRYSIDE BAY, WOODBURY, MN 55129-7816
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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