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NPI Code Detail

MEDICARE: JJ HEALTH SERVICES LLC

MEDICARE: JJ HEALTH SERVICES 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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1245920693
Entity Type Code : Organization
Provider Name (Legal Business Name) : JJ HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 3500 E LAKE ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-2151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3500 E LAKE ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-2151
Country : US
Telephone Number : 612-986-4352
Fax Number :
Authorized Official
Title or Position : OWNER
Name : FARHIYO HASSAN YUSUF
Credential :
Telephone Number : 612-986-4352
Provider Enumeration Date : 05/09/2023
Last Update Date : 05/09/2023

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Directions to “JJ HEALTH SERVICES LLC ” Practice Location

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