Organization
RENEWED LIVING L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AHMED (EMPLOYEE)
(612) 477-5596
Entity
Organization
Contact information
Practice address
12224 17TH AVE S, BURNSVILLE, MN 55337-6832
(612) 477-5596
Mailing address
12224 17TH AVE S, BURNSVILLE, MN 55337-6832
(612) 477-5596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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