Organization
EPIC HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABEL BWIANCHINGA NP (CEO)
(612) 298-7909
Entity
Organization
Contact information
Practice address
19201 BLUE STEM CT, MAPLE GROVE, MN 55311-5497
(612) 298-7909
Mailing address
19201 BLUE STEM CT, MAPLE GROVE, MN 55311-5497
(612) 298-7909
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2022
Last updated
05/29/2022
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