Organization
EXPRESS HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL RAHMAN ISMAIL (OWNER)
(763) 670-4382
Entity
Organization
Contact information
Practice address
1140 TOWN CENTRE DR APT 15, EAGAN, MN 55123-2316
(763) 670-4382
Mailing address
1140 TOWN CENTRE DR APT 15, EAGAN, MN 55123-2316
(763) 670-4382
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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