Organization
NURTURING HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATHIA J WARSAME (MANAGEMENT OFFICIAL)
(651) 756-1473
Entity
Organization
Contact information
Practice address
540 FAIRVIEW AVE N STE 303, SAINT PAUL, MN 55104-1796
(651) 756-1473
(651) 756-7224
Mailing address
540 FAIRVIEW AVE N STE 303, SAINT PAUL, MN 55104-1796
(651) 756-1473
(651) 756-7224
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1077275
MN
Other
Enumeration date
01/19/2016
Last updated
01/03/2019
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