Whalio Doctors

NPI 1023249778

Lifetime Health Care Services INC

Organisation Mental Illness Community Based Residential Treatment Facility Burnsville, MN

Practice location

Address
2361 Williams Dr, Burnsville, MN 55337-1984
Phone
(614) 679-1113
Fax
(614) 754-6635

Authorised official

Name
Ahmed D Mohamed
Title
Ceo
Phone
(614) 679-1113

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1023249778
Entity type
Organization
NPI issued
29 Jul 2009
Record last updated
29 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.