Organization
LIFEBORNE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH OSMAN ALI (OWNER)
(218) 833-3666
Entity
Organization
Contact information
Practice address
39 BIRNAMWOOD DR, BURNSVILLE, MN 55337-6810
(612) 532-8513
Mailing address
39 BIRNAMWOOD DR, BURNSVILLE, MN 55337-6810
(612) 532-8513
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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