Organization
JMI RECUPERATIVE CARE LLC
Active
Other names
JMI RECUPERATIVE CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSA FARAH OSMAN NP (NURSE PRACTITIONER)
(612) 245-8475
Entity
Organization
Contact information
Practice address
12310 SINGLETREE LN APT 2344, EDEN PRAIRIE, MN 55344-7983
(585) 967-1794
Mailing address
12310 SINGLETREE LN APT 2344, EDEN PRAIRIE, MN 55344-7983
(585) 967-1794
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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