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SE HOMES RECOVERY INC NPI 1437526720


NPI Information

NPI: 1437526720
Provider Name: SE HOMES RECOVERY INC

Doing Business As: SOUTH EAST HOMES INC.

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4020 MINNEHAHA AVE STE 2070
MINNEAPOLIS, MN
ZIP 55406
Phone: (612) 702-7231
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SE HOMES RECOVERY INC is a rehabilitation and substance use disorder clinic center in Minneapolis, MN. SE HOMES RECOVERY INC NPI is 1437526720. The provider is registered as an organization entity type.
The provider Is Doing Business As South East Homes Inc..

The provider's business location address is:

4020 MINNEHAHA AVE STE 2070
MINNEAPOLIS, MN
ZIP 55406-529
Phone: (612) 702-7231

The provider's authorized official is Abah Abdul Mohamed .
The authorized official title is Program Director and has the following contact phone number (612) 702-7231.

The enumeration date for this NPI number is 8/21/2015 and was last updated on 8/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1074798-2-CDTMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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