Organization
BLESSED HAVEN SC
Active
Organization
BLESSED HAVEN SC
Active
Other names
Blessed Haven
Organization subpart
No
Provider details
NPI number
Authorized official
BUREEQO O DAHIR (OWNER)
(612) 598-4075
Entity
Organization
Contact information
Practice address
3000 LOGAN AVE N, MINNEAPOLIS, MN 55411-1256
(612) 598-4075
Mailing address
2855 JORDAN AVE S APT 209, MINNETONKA, MN 55305-3507
(612) 598-4075
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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