NPI 1154119857

Amicable Service Center INC

Organisation Early Intervention Provider Agency Saint Paul, MN

Practice location

Address: 360 Sherman St STE B40-D, Saint Paul, MN 55102-2564
Phone: (612) 607-9569

Authorised official

Name: Yahya Mohamed
Title: Owner
Phone: (612) 607-9569

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1154119857
Entity type: Organization
NPI issued: 30 Apr 2025
Record last updated: 30 Apr 2025

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.