Organization
247 HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSA MOHAMED (CO-FOUNDER)
(612) 741-5399
Entity
Organization
Contact information
Practice address
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344-7705
(612) 741-5399
Mailing address
15644 FAIRFIELD DR, APPLE VALLEY, MN 55124-5352
(612) 741-5399
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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