Healthcare Provider Details

I. General information

NPI: 1043099724
Provider Name (Legal Business Name): ACCORD HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4124 QUEBEC AVE N STE 300
NEW HOPE MN
55427-1241
US

IV. Provider business mailing address

4124 QUEBEC AVE N STE 300
NEW HOPE MN
55427-1241
US

V. Phone/Fax

Practice location:
  • Phone: 612-699-2556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CHIMIE SAJJABI
Title or Position: MANAGER
Credential:
Phone: 612-669-2556