MEDICARE: METRO HOUSING STABILIZATION 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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1659962298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO HOUSING STABILIZATION SERVICES LLC

Provider Business Mailing Address
First Line	:	1206 E LAKE ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1206 E LAKE ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1621
Country	:	US
Telephone Number	:	612-598-3333
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AHMED SAID
Credential	:
Telephone Number	:	612-598-3333

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	01/27/2021

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