Organization
MINNESOTA AUTISM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMA SAID (OWNER)
(612) 978-0431
Entity
Organization
Contact information
Practice address
16345 KENYON AVE UNIT 3, LAKEVILLE, MN 55044-8934
(612) 978-0431
Mailing address
16345 KENYON AVE UNIT 3, LAKEVILLE, MN 55044-8934
(612) 978-0431
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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