Organization
BASE PREP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALA DAHIR AHMED (OWNER)
(612) 426-0894
Entity
Organization
Contact information
Practice address
16349 HARVARD DR, LAKEVILLE, MN 55044-6303
(612) 426-0894
Mailing address
16349 HARVARD DR, LAKEVILLE, MN 55044-6303
(612) 426-0894
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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