Provisional Health And Rehabilitative Services Llc

LBN: Provisional Health And Rehabilitative Services Llc
Provisional Health And Rehabilitative Services Llc is an health care organization with primary practice located at 12970 Cardinal Creek Rd , Eden Prairie MN 55346-1936. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Provisional Health And Rehabilitative Services Llc can be contacted via phone (952) 687-9064, or through Jama, Ali via phone (952) 687-9064.

Contact Information

Primary practice address
12970 Cardinal Creek Rd Eden Prairie MN 55346-1936
Phone: (952) 687-9064
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jama, Ali
Phone: (952) 687-9064

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1841966116
LBN Legal business name Provisional Health And Rehabilitative Services Llc
DBA Doing business as
Authorized official Jama, Ali
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 4 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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