Fountain Autism Center Llc

LBN: Fountain Autism Center Llc
Fountain Autism Center Llc is an health care organization with primary practice located at 3628 Park Ave , Minneapolis MN 55407-2533. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Fountain Autism Center Llc can be contacted via phone (612) 636-8746, or through Ali, Sacdiyo Abdi via phone (612) 636-8746.

Contact Information

Primary practice address
3628 Park Ave Minneapolis MN 55407-2533
Phone: (612) 636-8746
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ali, Sacdiyo Abdi
Phone: (612) 636-8746

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1962196717
LBN Legal business name Fountain Autism Center Llc
DBA Doing business as
Authorized official Ali, Sacdiyo Abdi
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2023
Last updated Jun 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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