Organization
HOPE ALLIANCE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSA M (DIRECTOR OF OPERATIONS)
(206) 883-0990
Entity
Organization
Contact information
Practice address
1516 W LAKE ST STE 106, MINNEAPOLIS, MN 55408-6600
(206) 883-0990
Mailing address
5901 BROOKLYN BLVD STE 202, BROOKLYN CENTER, MN 55429-2533
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
08/08/2016
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