NPI 1033885264
Otter Tail Health Care Services LLC
Practice location
- Address
- 441 Old Highway 8 NW STE 213, New Brighton, MN 55112-3235
- Phone
- (612) 876-1144
- Fax
- (702) 975-5307
- Mailing address
- 808 Berry St APT 150, Saint Paul, MN 55114-1390
Authorised official
- Name
- Libin Hassan Hashi
- Title
- Mental Health Practitioner
- Phone
- (612) 876-1144
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1033885264
- Entity type
- Organization
- NPI issued
- 18 Aug 2021
- Record last updated
- 18 Aug 2021
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.