Organization
HABBOON ADULT REHAB MENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUAD MOHAMED HAJI (DIRECTOR)
(612) 332-9005
Entity
Organization
Contact information
Practice address
808 BERRY ST STE# 192, SAINT PAUL, MN 55114-1082
(612) 332-9005
Mailing address
808 BERRY ST STE# 192, SAINT PAUL, MN 55114-1082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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