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HERITAGE STABILIZATION LLC NPI 1437858172


NPI Information

NPI: 1437858172
Provider Name: HERITAGE STABILIZATION LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
13837 ECHO PARK LN
BURNSVILLE, MN
ZIP 55337
Phone: (612) 806-3714
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HERITAGE STABILIZATION LLC is a clinic center in Burnsville, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HERITAGE STABILIZATION LLC NPI is 1437858172. The provider is registered as an organization entity type.

The provider's business location address is:

13837 ECHO PARK LN
BURNSVILLE, MN
ZIP 55337-750
Phone: (612) 806-3714

The provider's authorized official is Khalid Mohamed .
The authorized official title is Owner and has the following contact phone number (612) 806-3714.

The enumeration date for this NPI number is 3/2/2023 and was last updated on 3/2/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 5/5/2024

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