Organization
BANNER HEALTH CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ABDULLE (EXECUTIVE DIRECTOR)
(651) 402-8028
Entity
Organization
Contact information
Practice address
1200 CENTRE POINTE CURV STE 250, MENDOTA HEIGHTS, MN 55120-1353
(651) 402-8028
Mailing address
4310 N WOODGATE LN, EAGAN, MN 55122-2277
(651) 402-8028
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
06/24/2024
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