Organization
SEWA-AIFW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAJ MOHINI CHAUDHARY (EXECUTIVE DIRECTOR)
(763) 234-8301
Entity
Organization
Contact information
Practice address
3702 E LAKE ST, MINNEAPOLIS, MN 55406-2156
(763) 234-8301
Mailing address
3702 E LAKE ST, MINNEAPOLIS, MN 55406-2156
(763) 234-8301
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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