Organization
INDEPENDENT HEALTHCARE RESOURCES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIRSI OMAR (TREATMENT DIRECTOR)
(612) 607-4421
Entity
Organization
Contact information
Practice address
393 DUNLAP ST N STE 820, SAINT PAUL, MN 55104-4343
(651) 645-1090
(651) 645-5168
Mailing address
10 7TH AVE N APT 208, HOPKINS, MN 55343-8843
(612) 607-4421
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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