Organization
PHOENIX HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR MOHAMUD (MANAGER)
(612) 298-3561
Entity
Organization
Contact information
Practice address
3760 SILVER LAKE RD NE APT 1354, MINNEAPOLIS, MN 55421-4484
(612) 298-3561
Mailing address
3760 SILVER LAKE RD NE APT 1354, MINNEAPOLIS, MN 55421-4484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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