Organization
SUCCESS ARENA HOME HEALTH AND SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLANIRAN OYENEYIN (DIRECTOR)
(952) 818-4363
Entity
Organization
Contact information
Practice address
13003 PACKARD ST NE, BLAINE, MN 55449-2204
(952) 818-4363
Mailing address
13003 PACKARD ST NE, BLAINE, MN 55449-2204
(952) 818-4363
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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