Organization
AWAKE HOUSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAIYA IBRAHIM-NDIP (OWNER)
(651) 706-2626
Entity
Organization
Contact information
Practice address
2520 S 8TH ST APT 406, MINNEAPOLIS, MN 55454-2802
(651) 706-2626
Mailing address
1783 HELENA RD N, SAINT PAUL, MN 55128-5524
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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