Organization
OPTIMAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADDAM SHIDO HASSAN (OWNER)
(612) 245-5906
Entity
Organization
Contact information
Practice address
17052 STONEBRIAR CIR SW, PRIOR LAKE, MN 55372-1991
(612) 245-5906
Mailing address
17052 STONEBRIAR CIR SW, PRIOR LAKE, MN 55372-1991
(612) 245-5906
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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