NPI 1043056955
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Practice location
- Address
- 1360 University Ave W STE 104-308, Saint Paul, MN 55104-4086
- Phone
- (612) 205-2178
Authorised official
- Name
- Siyad Abdullahi Abdi
- Title
- Mr
- Phone
- (612) 205-2178
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1043056955
- Entity type
- Organization
- NPI issued
- 1 Jul 2024
- Record last updated
- 1 Jul 2024
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.