Organization
BALANCED LIVING, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASRA HASSAN GIAM DNP (CEO)
(763) 203-9496
Entity
Organization
Contact information
Practice address
16019 ESTATE LN, LAKEVILLE, MN 55044-2269
(763) 203-9496
Mailing address
16019 ESTATE LN, LAKEVILLE, MN 55044-2269
(763) 203-9496
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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