Organization
BNW L.L.C
Active
Other names
Afya Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEKAM MERDASSA (FOUNDER)
(203) 687-5925
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 223, SAINT PAUL, MN 55104-2801
(203) 687-5925
Mailing address
550 SNELLING AVE N APT 405, SAINT PAUL, MN 55104-2338
(203) 687-5925
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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