MEDICARE: FOCUS SKILL ACADEMY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1265261747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS SKILL ACADEMY LLC

Provider Business Mailing Address
First Line	:	301 E LAKE ST STE 209
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2449
Country	:	US
Telephone Number	:	612-845-8975
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 E LAKE ST STE 209
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2449
Country	:	US
Telephone Number	:	612-845-8975
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SAID ABDULLAHI
Credential	:
Telephone Number	:	612-845-8975

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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