Organization
MOMENTUM HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ALI ISMAIL (OWNER)
(612) 442-6011
Entity
Organization
Contact information
Practice address
229 IRVING AVE N, MINNEAPOLIS, MN 55405-5501
(612) 636-0707
Mailing address
909 GOULD AVE NE APT 344, COLUMBIA HEIGHTS, MN 55421-4718
(612) 442-6011
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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