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Provisional Health And Rehabilitative Services Llc
Clinic/Center in Eden Prairie, Minnesota
NPI 1841966116

Provisional Health And Rehabilitative Services Llc is a Clinic/Center based in Eden Prairie, MN. Provisional Health And Rehabilitative Services Llc practices in Eden Prairie, MN. The NPI Number for Provisional Health And Rehabilitative Services Llc is 1841966116 and holds a License No. (Minnesota).

The current practice location address for Provisional Health And Rehabilitative Services Llc is 12970 Cardinal Creek Rd, Eden Prairie, MN and can be reached out via phone at 952-687-9064.

Location: 12970 Cardinal Creek Rd, Eden Prairie, MN, 55346-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841966116
Provider Name
Provisional Health And Rehabilitative Services Llc
Credential
Provider Entity Type
Organization
Address
12970 Cardinal Creek Rd, Eden Prairie, MN, 55346-1936
Phone Number
952-687-9064
Fax Number
Provider Enumeration Date
08/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12970 Cardinal Creek Rd
City
Eden Prairie
State
Minnesota
Zip
55346-1936
Phone Number
952-687-9064
Fax Number
person
Provider Business Mailing Address Details
Address
12970 Cardinal Creek Rd
City
Eden Prairie
State
Minnesota
Zip
55346-1936
Phone Number
952-687-9064
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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