Organization
LIFETRACK WELLNESS INC
Active
Other names
Lifetrack Wellness Inc
Organization subpart
No
Provider details
NPI number
Authorized official
FAISAL AIDEED (OWNER)
(952) 649-0512
Entity
Organization
Contact information
Practice address
2104 PARK AVE, MINNEAPOLIS, MN 55404-6607
(952) 649-0512
Mailing address
11475 WESTWIND DR APT F, EDEN PRAIRIE, MN 55344-4122
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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