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NPI 1629829387

OrganizationActive

Daziah LLC

NPI 1629829387 · Case Management Agency · Champlin, MN

Provider details

NPI number: 1629829387
Entity type: Organization
Primary specialty: Case Management AgencyAgencies
Organization subpart: No
Authorized official: Yushica Kelly, Owner(763) 221-8823

Specialties & taxonomies

Case Management AgencyPrimary251B00000X
Agencies

Practice location

130 Hayden Lake Rd E

Champlin, MN 55316-1411

Phone: (763) 221-8823

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

130 Hayden Lake Rd E

Champlin, MN 55316-1411

Registry dates

Enumerated: 2024-04-01
Last updated: 2024-04-01
Certified: 2024-03-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Daziah LLC — NPI 1629829387, Champlin, MN | NPI Central