Organization
PRELEASE SBC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABU NAYEEM (CEO)
(507) 596-9686
Entity
Organization
Contact information
Practice address
1249 SHERBURNE AVE, SAINT PAUL, MN 55104-2530
(507) 596-9686
Mailing address
1249 SHERBURNE AVE, SAINT PAUL, MN 55104-2530
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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