Organization
LOTUS CARE MN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANTU SHANKULIE (OWNER)
(651) 421-5221
Entity
Organization
Contact information
Practice address
2915 WAYZATA BLVD STE 306, MINNEAPOLIS, MN 55405-2145
(651) 421-5221
Mailing address
2915 WAYZATA BLVD STE 306, MINNEAPOLIS, MN 55405-2145
(651) 421-5221
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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