| Lakes Housing Services Llc | |
|
13176 Coral Sea Ct Ne Blaine MN 55449-0019 | |
| (612) 547-8061 | |
| Not Available |
| Full Name | Lakes Housing Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13176 Coral Sea Ct Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Khalid Mohamed Ahmeed (CEO) |
| Authorized Official Contact | 6122086703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Housing Services Llc 13176 Coral Sea Ct Ne Blaine MN 55449-0019 Ph: (612) 547-8061 | Lakes Housing Services Llc 13176 Coral Sea Ct Ne Blaine MN 55449-0019 Ph: (612) 547-8061 |
| NPI Number | 1235854050 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235854050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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