Organization
EAST AFRICAN SOCIAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDULAZIZ ABDULAHI FARAH (DIRECTOR)
(651) 646-1006
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 196, SAINT PAUL, MN 55104-2870
(651) 646-1006
(651) 328-5537
Mailing address
1821 UNIVERSITY AVE W STE 196, SAINT PAUL, MN 55104-2870
(651) 646-1006
(651) 328-5537
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
10534351
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A006617300
MHCP
MN
Enumeration date
06/15/2009
Last updated
06/15/2009
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