Organization
SOM HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMO SALIM (OWNER)
(612) 422-5221
Entity
Organization
Contact information
Practice address
1711 W 143RD ST APT 322, BURNSVILLE, MN 55306-7991
(612) 422-5221
Mailing address
1711 W 143RD ST APT 322, BURNSVILLE, MN 55306-7991
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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