Provider Demographics
NPI:1316244163
Name:CENTER FOR SOMALI SOLUTIONS & UNITY
Entity type:Organization
Organization Name:CENTER FOR SOMALI SOLUTIONS & UNITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHDI
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:HAILE
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:612-987-9284
Mailing Address - Street 1:2121 NICOLLET AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2566
Mailing Address - Country:US
Mailing Address - Phone:612-287-5158
Mailing Address - Fax:612-871-6411
Practice Address - Street 1:2121 NICOLLET AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2566
Practice Address - Country:US
Practice Address - Phone:612-287-5158
Practice Address - Fax:612-871-6411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNBAU0007173343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)