OrganizationActive
Angel Center LLC
NPI 1053143479 · Early Intervention Provider Agency · Fridley, MN
Provider details
- NPI number
- 1053143479
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anhar Ibrahim, Owner(763) 898-8368
Specialties & taxonomies
Agencies
Practice location
7260 University Ave Ne Ste 315
Fridley, MN 55432-3129
Phone: (763) 898-8368
Approximate (ZIP-level) locationGet directions
Mailing address
12648 Leyte St Ne
Blaine, MN 55449-6791
Registry dates
- Enumerated
- 2024-08-15
- Last updated
- 2024-08-15
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.