Organization
NICOLLET SENIOR CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMSO AHMED HASSAN (PRESIDENT)
(612) 532-4198
Entity
Organization
Contact information
Practice address
2614 NICOLLET AVE, MINNEAPOLIS, MN 55408-1628
(612) 532-4198
Mailing address
2614 NICOLLET AVE, MINNEAPOLIS, MN 55408-1628
(612) 532-4198
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1076746
MN
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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