Kids Space LLC
NPI #1063105724 in Spring Lake Park, Minnesota
Provider Information
- NPI Number
- 1063105724
- Entity Type
- Organization
- Organization Name
- Kids Space LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 30, 2023
- Last Updated
- May 30, 2023
Practice Location
- Address
- 1440 85TH AVE NE UNIT D
- City
- Spring Lake Park
- State
- Minnesota
- ZIP Code
- 55432-1323
- Phone
- (612) 800-4509
Authorized Official
- Name
- ABDUSAMED M. HASSEN
- Title
- OWNER
- Phone
- (612) 800-4509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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