| Elite Services Center Inc | |
|
11005 Okinawa Ave Blaine MN 55449 | |
| (612) 298-2894 | |
| Not Available |
| Full Name | Elite Services Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11005 Okinawa Ave, Blaine, Minnesota |
| Authorized Official Name and Position | Ayan Mohamed (PRESIDENT) |
| Authorized Official Contact | 6122982894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Services Center Inc 11005 Okinawa Ave Blaine MN 55449 Ph: (612) 298-2894 | Elite Services Center Inc 11005 Okinawa Ave Blaine MN 55449 Ph: (612) 298-2894 |
| NPI Number | 1629798145 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629798145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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