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SOUTH EAST HOMES INC NPI 1336432087


NPI Information

NPI: 1336432087
Provider Name: SOUTH EAST HOMES INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2732 BLOOMINGTON AVE
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 702-7231
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SOUTH EAST HOMES INC is a substance abuse rehabilitation facility in Minneapolis, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOUTH EAST HOMES INC NPI is 1336432087. The provider is registered as an organization entity type.

The provider's business location address is:

2732 BLOOMINGTON AVE
MINNEAPOLIS, MN
ZIP 55407-146
Phone: (612) 702-7231

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

The enumeration date for this NPI number is 5/26/2011 and was last updated on 8/17/2012.


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
1324500000XSubstance Abuse Rehabilitation Facility1062832-1-CDTMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11058560OTHERMINNESOTADHS LICENSE

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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