NPI 1306660980
Prairie Horizons Health INC
Practice location
- Address
- 1821 University Ave W STE 149, Saint Paul, MN 55104-2891
- Phone
- (612) 404-9895
Authorised official
- Name
- Sharmake a Mohamed
- Title
- Manager
- Phone
- (612) 404-9895
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1306660980
- Entity type
- Organization
- NPI issued
- 11 Nov 2024
- Record last updated
- 11 Nov 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.